LISA WALDROUP

Non-emergency Medical Transport (VAN)

Active Individual
NPI: 1184188005

Practice Address

1633 TINA LN
Flossmoor, IL 60422

Phone: (708) 922-1344

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X No 043.1161135 (IL)
Non-emergency Medical Transport (VAN) 343900000X Yes 07483562 (IL)

Frequently Asked Questions

NPI 1184188005 is the National Provider Identifier for LISA WALDROUP, a Non-emergency Medical Transport (VAN) provider located in Flossmoor, IL. This NPI was enumerated on January 24, 2019.
LISA WALDROUP practices at 1633 TINA LN, Flossmoor, IL 60422.

Quick Facts

NPI
1184188005
Type
Individual
Enumerated
Jan 24, 2019
Last Updated
Jan 24, 2019

Nearby Providers