NPI 1114192051
Lisa Willis, BGS
Practice location
- Address
- 655 E Main St, Peru, IN 46970-2662
- Phone
- (765) 472-1931
- Fax
- (765) 472-1945
- Mailing address
- 1015 Michigan Ave, Logansport, IN 46947-1526
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1114192051
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Apr 2008
- Record last updated
- 18 Jun 2012
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.