LISHA LANCASTER (NPI# 1508226648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508226648 |
| Entity Type | Individual |
| Full Name | LISHA LANCASTER |
| Practice Address |
304 N Mickey Mantle Blvd Commerce OK 74339-1110 |
| Mailing Address |
Po Box 1271 Miami OK 74355-1271 |
| Practice Telephone | 9182536548 |
| Practice Fax Number | 9182536548 |
| Mailing Telephone | 9186754100 |
| Mailing Fax Number | 9186754615 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
304 N MICKEY MANTLE BLVD |
| City | COMMERCE |
| State | OK |
| Zip Code | 74339-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336346279 | Northeastern Oklahoma Council On Alcoholism, Inc. | Substance Abuse Rehabilitation Facility | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2007-07-02 |
| 1487014486 | Melissa Botts | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-03-03 |
| 1518324227 | Santiago Rodriguez | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-01-26 |
| 1245696756 | Greg Fent | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275024390 | Lindsay Michelle Matteson | Peer Specialist | 304 N Mikey Mantel Blvd, Commerce, OK 74339 | 2018-05-24 |
| 1811368863 | Michelle Deshazer | Registered Nurse | 124 N Mickey Mantle Blvd, Commerce, OK 74339-1106 | 2015-10-16 |
| 1417058470 | Eastwood Manor, LLC | Nursing Facility/Intermediate Care Facility | 519 N Mickey Mantle Blvd, Commerce, OK 74339-1127 | 2006-09-25 |
| 1104054725 | Commerce Public Schools | Local Education Agency (LEA) | 217 Commerce St, Commerce, OK 74339-2200 | 2009-06-23 |
| 1467941690 | Keisha Jane Miller | Peer Specialist | 304 Commerce St, Commerce, OK 74339-2408 | 2018-05-03 |
| 1114370996 | Dayspring Community Services | Community/Behavioral Health | 900 A St, Commerce, OK 74339-2607 | 2016-07-18 |
| 1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560931 | Natalie K Dignam | Counselor | 1004 Park St Apt 5, Commerce, TX 75428-2691 | 2020-05-19 |
| 1487015707 | Shane Rivera | Counselor | 5053 Astor Ave, Commerce, CA 90040-1301 | 2016-03-14 |
| 1154605939 | Hanna's House | Counselor | 5900 S Eastern Ave Ste 142, Commerce, CA 90040-4024 | 2011-09-28 |
| 1194332510 | Live Life Now Health Group of California PC | Counselor | 5800 S Eastern Ave Ste 500, Commerce, CA 90040-4033 | 2020-09-29 |
| 1396249421 | Monica Lorene Cody | Counselor | 5650 Jillson St, Commerce, CA 90040-1482 | 2018-03-22 |
| 1487014486 | Melissa Botts | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-03-03 |
| 1518324227 | Santiago Rodriguez | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-01-26 |
| 1245696756 | Greg Fent | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-01-13 |
| 1457784480 | Dario Saul Mazariegos | Counselor | 5900 S Eastern Ave Ste 142, Commerce, CA 90040-4024 | 2013-08-13 |
| 1699113498 | Sharon Renne Allen | Counselor | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2013-06-13 |
| Find all providers in COMMERCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.