Lisa M Panicola, is a
Counselor - Professional based in Dardenne Prairie, Missouri. Lisa M Panicola is licensed to practice in Missouri (license number 2006036530) and her current practice location is
7400 Highway N, Dardenne Prairie, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 561-7080.
NPI number for Lisa M Panicola is 1639396534 and her current mailing address is 6626 Mardel Ave, Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639396534.
Healthcare Provider's Profile
Full Name | Lisa M Panicola |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 7400 Highway N, Dardenne Prairie, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639396534
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Lisa M Panicola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639396534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2006036530 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa M Panicola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa M Panicola, 6626 Mardel Ave, Saint Louis, MO 63109-1226 Ph: () - | Lisa M Panicola, 7400 Highway N, Dardenne Prairie, MO 63368-7013 Ph: (636) 561-7080 |
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