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Lisa Ann Waldroup
Non-emergency Medical Transport (VAN) in Flossmoor, Illinois
NPI 1184188005

Lisa Ann Waldroup is a Non-emergency Medical Transport (VAN) based in Flossmoor, IL. Lisa Ann Waldroup practices in Flossmoor, IL. The NPI Number for Lisa Ann Waldroup is 1184188005 and holds a License No. 043.1161135 (Illinois).

The current practice location address for Lisa Ann Waldroup is 1633 Tina Ln, Flossmoor, IL and can be reached out via phone at 708-922-1344.

Location: 1633 Tina Ln, Flossmoor, IL, 60422-1952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184188005
Provider Name
Lisa Ann Waldroup
Credential
Provider Entity Type
Individual
Gender
Female
Address
1633 Tina Ln, Flossmoor, IL, 60422-1952
Phone Number
708-922-1344
Fax Number
Provider Enumeration Date
01/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1633 Tina Ln
City
Flossmoor
State
Illinois
Zip
60422-1952
Phone Number
708-922-1344
Fax Number
person
Provider Business Mailing Address Details
Address
1633 Tina Ln
City
Flossmoor
State
Illinois
Zip
60422-1952
Phone Number
708-922-1344
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
07483562 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
043.1161135 (Illinois)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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