Lisa Marie Robertson (NPI# 1932552890, PAC ID# 0547549511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932552890 |
| PAC ID by PECOS | 0547549511 |
| Professional Enrollment ID | I20161115000480 |
| Full Name | Lisa Marie Robertson |
| Address |
1 Hickman St Graniteville SC 29829-2955 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420082 | AIKEN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Hickman St, Graniteville, SC 29829-2955 |
| Street Address |
1 HICKMAN ST |
| City | GRANITEVILLE |
| State | SC |
| Zip | 29829-2955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candace C. Waters | Nurse Practitioner | Aiken Professional Association LLC | 124 Bettis Academy Rd, Graniteville, SC 29829-3107 |
| Jay E Earles | Psychologist, Clinical | 3524 Jefferson Davis Hwy, Graniteville, SC 29829-3850 | |
| Adam Wesley Bruckner | Family Medicine | Aiken Professional Association LLC | 110 Sasanqua Dr, Graniteville, SC 29829-4136 |
| City | GRANITEVILLE |
| Zip Code | 29829 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRANITEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa Marie Robertson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.