Lisa Marie Kmieciak, LPN is a
Licensed Practical Nurse based in Sheppton, Pennsylvania. Lisa Marie Kmieciak is licensed to practice in Pennsylvania (license number PN256867L) and her current practice location is
87 W Pine St., Sheppton, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 384-1070.
NPI number for Lisa Marie Kmieciak is 1861685091 and her current mailing address is 87 W Pine St., Po Box 300, Sheppton, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861685091.
Provider's Profile
Full Name | Lisa Marie Kmieciak |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 87 W Pine St., Sheppton, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861685091
- Provider Enumeration Date: 08/21/2007
- Last Update Date: 08/21/2007
Medical Identifiers
Medical identifiers for Lisa Marie Kmieciak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861685091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN256867L (Pennsylvania) | 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 Marie Kmieciak 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 Marie Kmieciak, LPN 87 W Pine St., Po Box 300, Sheppton, PA 18248-0300 Ph: (570) 384-1070 | Lisa Marie Kmieciak, LPN 87 W Pine St., Sheppton, PA 18248-0300 Ph: (570) 384-1070 |
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