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NPI Code Detail

MEDICARE: MS. LISA CURRY LCSW

MEDICARE: MS. LISA CURRY LCSW
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
11041C0700XClinical Social Worker149005922IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IL0195OTHERILJOHN DEERE PROVIDER NUMBE
2149005922OTHERILBLUE CROSS ILLINOIS NUMBE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
599118OTHERILBLUE CROSS WELLMARK NUMBE

General Provider Information

NPI Number : 1790778512
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA CURRY LCSW
Provider Business Mailing Address
First Line : 2101 47TH STREET
Second Line :
City : MOLINE
State : IL
Zip : 61265
Country : US
Telephone Number : 563-343-0334
Fax Number :
Provider Business Practice Location Address
First Line : 4600 3RD ST
Second Line :
City : MOLINE
State : IL
Zip : 61265-6106
Country : US
Telephone Number : 309-779-2031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 09/09/2009

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