Lisa D Andersen, LPN is a
Licensed Practical Nurse based in Dowagiac, Michigan. Lisa D Andersen is licensed to practice in Michigan (license number 4703085995) and her current practice location is
402 New York Ave, Dowagiac, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 479-6043.
NPI number for Lisa D Andersen is 1811480288 and her current mailing address is 402 New York Ave, Dowagiac, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811480288.
Provider's Profile
Full Name | Lisa D Andersen |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 402 New York Ave, Dowagiac, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811480288
- Provider Enumeration Date: 06/11/2018
- Last Update Date: 06/11/2018
Medical Identifiers
Medical identifiers for Lisa D Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811480288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 8352 (Wyoming) | Secondary |
164W00000X | Licensed Practical Nurse | 4703085995 (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. Lisa D Andersen 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 D Andersen, LPN 402 New York Ave, Dowagiac, MI 49047-1772 Ph: (269) 479-6043 | Lisa D Andersen, LPN 402 New York Ave, Dowagiac, MI 49047-1772 Ph: (269) 479-6043 |
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