Provider Demographics
NPI:1861252611
Name:BIGGS, LISA CAROL
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:CAROL
Last Name:BIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6640 SALISBURY RD APT G102
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-9602
Mailing Address - Country:US
Mailing Address - Phone:419-276-1252
Mailing Address - Fax:419-491-0231
Practice Address - Street 1:1020 MEDICAL CENTER PKWY APT 109
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1937
Practice Address - Country:US
Practice Address - Phone:419-276-1252
Practice Address - Fax:419-491-0231
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide