Provider Demographics
NPI:1932064060
Name:BELL, LISA GAIL
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:GAIL
Last Name:BELL
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 1:6576 ARMSTRONG RD
Mailing Address - Street 2:
Mailing Address - City:IMLAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48444-8958
Mailing Address - Country:US
Mailing Address - Phone:810-417-7771
Mailing Address - Fax:
Practice Address - Street 1:6576 ARMSTRONG RD
Practice Address - Street 2:
Practice Address - City:IMLAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48444-8958
Practice Address - Country:US
Practice Address - Phone:810-417-7771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-20
Last Update Date:2025-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide