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NPI Code Detail

MEDICARE: LISA K HOEHN FNP

MEDICARE: LISA K HOEHN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR866285MS
2363LF0000XFamily Nurse Practitioner1-130280AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00368675OTHERMSRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124015847
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA K HOEHN FNP
Provider Business Mailing Address
First Line : PO BOX 997
Second Line :
City : FLOMATON
State : AL
Zip : 36441-0997
Country : US
Telephone Number : 251-296-2456
Fax Number : 251-296-0320
Provider Business Practice Location Address
First Line : 174 HIGHWAY 113
Second Line :
City : FLOMATON
State : AL
Zip : 36441-4556
Country : US
Telephone Number : 251-296-2456
Fax Number : 251-296-0320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 07/21/2011

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