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NPI Code Detail

MEDICARE: LISA L EIMER LCDC II, ADC, PRSS

MEDICARE: LISA L EIMER LCDC II, ADC, PRSS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1275038945
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA L EIMER LCDC II, ADC, PRSS
Provider Business Mailing Address
First Line : 411 COURT ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-3932
Country : US
Telephone Number : 740-354-6685
Fax Number : 408-764-0057
Provider Business Practice Location Address
First Line : 411 COURT ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-3932
Country : US
Telephone Number : 740-354-6685
Fax Number : 740-876-4005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2018
Last Update Date : 04/06/2026

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