Mrs Lisa Marie Longoria I, is a
Massage Therapist based in Bailey, Michigan. Mrs Lisa Marie Longoria I is licensed to practice in Michigan (license number 7501002188) and her current practice location is
17615 Bailey Rd, Bailey, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 914-7362.
NPI number for Mrs Lisa Marie Longoria I is 1548686876 and her current mailing address is 17165 Bailey Rd, Bailey, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548686876.
Healthcare Provider's Profile
Full Name | Mrs Lisa Marie Longoria I |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 17615 Bailey Rd, Bailey, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548686876
- Provider Enumeration Date: 03/11/2014
- Last Update Date: 03/11/2014
Medical Identifiers
Medical identifiers for Mrs Lisa Marie Longoria I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548686876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 7501002188 (Michigan) | 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. Mrs Lisa Marie Longoria I 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 |
Mrs Lisa Marie Longoria I, 17165 Bailey Rd, Bailey, MI 49303-9729 Ph: (616) 914-7362 | Mrs Lisa Marie Longoria I, 17615 Bailey Rd, Bailey, MI 49303-9729 Ph: (616) 914-7362 |
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