| Lizabeth L Werner LLC | |
|
200 W 12th Street Washington MO 63090 | |
| (636) 390-4422 | |
| (636) 390-4449 |
| Full Name | Lizabeth L Werner LLC |
|---|---|
| Speciality | Social Worker |
| Location | 200 W 12th Street, Washington, Missouri |
| Authorized Official Name and Position | Lizabeth L Werner (OWNER) |
| Authorized Official Contact | 6363904422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lizabeth L Werner LLC Po Box 161 Villa Ridge MO 63089 Ph: (636) 390-4422 | Lizabeth L Werner LLC 200 W 12th Street Washington MO 63090 Ph: (636) 390-4422 |
| NPI Number | 1972611010 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 07/08/2008 |
| Medicare PECOS PAC ID | 3274639752 |
|---|---|
| Medicare Enrollment ID | O20070430000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972611010 | NPI | - | NPPES |
| 494745615 | Medicaid | MO | |
| 1972611010 | Medicaid | MO |
| Provider Name | Lizabeth L Werner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720196835 PECOS PAC ID: 3476658485 Enrollment ID: I20070430000134 |
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