Dr Lisa Renee Velliquette, DC is a
Chiropractor based in Ft Wayne, Indiana. Dr Lisa Renee Velliquette is licensed to practice in Indiana (license number 08002124A) and her current practice location is
971 Chestnut Hills Pkwy, Ft Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at
(260) 625-6511.
NPI number for Dr Lisa Renee Velliquette is 1588748206 and her current mailing address is 971 Chestnut Hills Pkwy, Fort Wayne, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588748206.
Healthcare Provider's Profile
| Full Name | Dr Lisa Renee Velliquette |
|---|
| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 971 Chestnut Hills Pkwy, Ft Wayne, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588748206
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 09/01/2026
Medical Identifiers
Medical identifiers for Dr Lisa Renee Velliquette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588748206 | NPI | - | NPPES |
| 200457990 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 08002124A (Indiana) | 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. Dr Lisa Renee Velliquette 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 |
Dr Lisa Renee Velliquette, DC 971 Chestnut Hills Pkwy, Fort Wayne, IN 46814-8932 Ph: (260) 625-6511 | Dr Lisa Renee Velliquette, DC 971 Chestnut Hills Pkwy, Ft Wayne, IN 46814 Ph: (260) 625-6511 |
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