Provider Demographics
NPI:1245516830
Name:MEEK, LISA JEAN (LISW)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:JEAN
Last Name:MEEK
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:OSAGE
Mailing Address - State:IA
Mailing Address - Zip Code:50461
Mailing Address - Country:US
Mailing Address - Phone:641-430-6221
Mailing Address - Fax:641-423-3836
Practice Address - Street 1:619 MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:OSAGE
Practice Address - State:IA
Practice Address - Zip Code:50461
Practice Address - Country:US
Practice Address - Phone:641-430-6221
Practice Address - Fax:641-423-3836
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker