LISA PORTER (NPI# 1811595150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811595150 |
| Entity Type | Individual |
| Full Name | LISA PORTER |
| Credential | HT |
| Practice Address |
2125 S 22nd Ave Broadview IL 60155-2807 |
| Practice Telephone | 7083685055 |
| Mailing Telephone | 7083685055 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246QL0900X |
Spec/Tech, Pathology Specialization: Laboratory Management |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246RH0600X |
Technician, Pathology Specialization: Histology |
23029 | IL | Technologists, Technicians & Other Technical Service Providers |
| N | 246RH0600X |
Technician, Pathology Specialization: Histology |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 376K00000X | Nurse's Aide | IL | Nursing Service Related Providers | |
| N | 174H00000X | Health Educator | 2792891 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205108552 | Lisa Marie Porter | Physical Therapist | 300 N B St, Easley, SC 29640-2132 | 2012-02-02 |
| 1215962915 | Lisa L. Porter | Optometrist | 1480 E Lincoln Rd Ste B, Idaho Falls, ID 83401-2128 | 2006-07-11 |
| 1366470486 | Lisa Porter | Physician Assistant | 9276 Main St, Suite 1a, Clarence, NY 14031-1969 | 2006-06-29 |
| 1477512531 | Lisa Mary Porter | Occupational Therapist | 5232 N Interstate Ave, Portland, OR 97217-4023 | 2006-03-18 |
| 1245760974 | Lisa Kay Porter | Counselor | 2910 Saint Marys Ave, Hannibal, MO 63401-3727 | 2017-06-14 |
| 1235689688 | Lisa Porter | Social Worker | 12502 Willowbrook Rd, Ste 380, Cumberland, MD 21502-6491 | 2016-10-10 |
| 1356769541 | Lisa Porter | Behavioral Analyst | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2014-04-03 |
| 1659615953 | Lisa M Porter | Physical Therapist | 6 Morrill Pl, Amesbury, MA 01913-3502 | 2012-11-27 |
| 1386929057 | Lisa G Porter | Social Worker | 411 Bishop Ct, Morehead, KY 40351-1009 | 2011-10-13 |
| 1841578341 | Lisa Porter | Community Health Worker | 160 Rosetta Ln, Cheyenne, WY 82007-9653 | 2011-08-01 |
| Street Address |
2125 S 22ND AVE |
| City | BROADVIEW |
| State | IL |
| Zip Code | 60155-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790176121 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1915-17 W. Roosevelt Rd., Broadview, IL 60155 | 2015-02-06 |
| 1821379736 | Living Healthy Inc | Registered Nurse | 2205 W Roosevelt Road, Broadview, IL 60155 | 2011-09-06 |
| 1023324530 | Erin Reynolds | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2010-08-20 |
| 1285862490 | Patricia M Moser Od PC | Optometrist | 122-24 Broadview Village Square, Broadview, IL 60155 | 2009-06-25 |
| 1295762417 | Kiran Ram Bais | Family Medicine | 2127 S 17th Ave, Broadview, IL 60155 | 2006-06-26 |
| 1982092698 | Tiffany R Budzinski | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2015-01-05 |
| 1760789853 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2011-02-25 |
| 1083121263 | Lisa A Ufkes | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2018-01-09 |
| 1093720203 | Walgreen Co | Pharmacy | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2006-07-29 |
| 1467739904 | Brian Kubeczko | Pharmacist | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2011-11-11 |
| Find all providers in zip 60155 | ||||
| Taxonomy Code | 246RH0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Histology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043469745 | Histology Corp | Technician, Pathology | 21 N Skokie Hwy, Suite 202, Lake Bluff, IL 60044-1777 | 2008-09-17 |
Please comment or provide details below to improve the information on LISA PORTER.
| 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.