| Lisa Nazworth Llc | |
|
3781 Westerre Pkwy Ste F Henrico VA 23233-1328 | |
| (804) 221-5646 | |
| Not Available |
| Full Name | Lisa Nazworth Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3781 Westerre Pkwy Ste F, Henrico, Virginia |
| Authorized Official Name and Position | Lisa Price Nazworth (OWNER) |
| Authorized Official Contact | 8042215646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Nazworth Llc 3781 Westerre Pkwy Ste F Henrico VA 23233-1328 Ph: (804) 221-5646 | Lisa Nazworth Llc 3781 Westerre Pkwy Ste F Henrico VA 23233-1328 Ph: (804) 221-5646 |
| NPI Number | 1538693007 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 04/12/2017 |
| Medicare PECOS PAC ID | 8022388123 |
|---|---|
| Medicare Enrollment ID | O20170724000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538693007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008735 (Virginia) | Primary |
| Provider Name | Lisa P Nazworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982045829 PECOS PAC ID: 9931189297 Enrollment ID: I20150421000837 |
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