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Lisa Crockom
Attendant Care Provider in Los Angeles, California
NPI 1730722539

Lisa Crockom is an Attendant Care Provider based in West Covina, CA and is specialized in Attendant Care Provider. Lisa Crockom practices in Los Angeles, CA. The NPI Number for Lisa Crockom is 1730722539 and holds a License No. (California).

The current practice location address for Lisa Crockom is 1838 E. Badillo Street Apt 1, Los Angeles, CA and can be reached out via phone at 626-324-2190.

Location: 1838 E. Badillo Street Apt 1, Los Angeles, CA, 91791-1107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730722539
Provider Name
Lisa Crockom
Credential
Provider Entity Type
Individual
Gender
Female
Address
1838 E. Badillo Street Apt 1, Los Angeles, CA, 91791-1107
Phone Number
626-324-2190
Fax Number
Provider Enumeration Date
10/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1838 E. Badillo Street Apt 1
City
Los Angeles
State
California
Zip
90001
Phone Number
626-324-2190
Fax Number
person
Provider Business Mailing Address Details
Address
1838 E. Badillo Street Apt 1
City
Los Angeles
State
California
Zip
90001
Phone Number
626-324-2190
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
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Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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