MEDICARE: LISA R FREEMAN RN

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
1	163W00000X	Registered Nurse	041.488204	IL
2	163W00000X	Registered Nurse	RN200001517	DC
3	163W00000X	Registered Nurse	4704356600	MI
4	163W00000X	Registered Nurse	RN2354895	MA
5	163W00000X	Registered Nurse	202107333RN	OR
6	163W00000X	Registered Nurse	RN87870	NV
7	163W00000X	Registered Nurse	2323141	MN
8	163W00000X	Registered Nurse	95090139	CA
9	163W00000X	Registered Nurse	RN95218	HI
10	163W00000X	Registered Nurse	RN785414	NY
11	163W00000X	Registered Nurse	RN152845	AK
12	163W00000X	Registered Nurse	RN214588	GA

General Provider Information

NPI Number	:	1922955566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA R FREEMAN RN

Provider Business Mailing Address
First Line	:	4050 PIEDMONT PKWY
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-9458
Country	:	US
Telephone Number	:	336-289-8648
Fax Number	:

Provider Business Practice Location Address
First Line	:	1904 MCGEE RD
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-2907
Country	:	US
Telephone Number	:	678-338-1128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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