NPI 1043506132
Lisa Marie Licciardi
Practice location
- Address
- 82 Hillside Rd, Penrose, NC 28766-8783
- Phone
- (828) 877-4076
- Mailing address
- 508 Elm Bend Rd, Brevard, NC 28712-9577
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1043506132
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jun 2011
- Record last updated
- 27 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.