Lisa Bolles, LPN is a
Licensed Practical Nurse based in Newport, Arkansas. Lisa Bolles is licensed to practice in Arkansas (license number L041134) and her current practice location is
210 Third St, Newport, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 524-9496.
NPI number for Lisa Bolles is 1013315357 and her current mailing address is Po Box 1589, Benton, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013315357.
Provider's Profile
| Full Name | Lisa Bolles |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 210 Third St, Newport, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013315357
- Provider Enumeration Date: 12/19/2014
- Last Update Date: 12/19/2014
Medical Identifiers
Medical identifiers for Lisa Bolles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013315357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | L041134 (Arkansas) | 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. Lisa Bolles 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 |
Lisa Bolles, LPN Po Box 1589, Benton, AR 72018-1589 Ph: (501) 315-3344 | Lisa Bolles, LPN 210 Third St, Newport, AR 72112-3302 Ph: (870) 524-9496 |
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