Lisa Jane Wagoner, MHPP
Lisa Jane Wagoner, MHPP is a Case Manager/Care Coordinator in Lake Village, Arkansas. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
316 Main StLake Village, AR 71653-1942 Not confirmed with CMS for 14 years — call before visiting
Phone: (870) 265-2186
Fax: (870) 265-2305
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1386903771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MHPP |
| Sole proprietor | No |
| NPI enumerated | May 7, 2012 |
| Last updated in NPPES | May 7, 2012 |
Other providers in Lake Village
-
Samantha Rogers
1127 Second St, Lake Village, AR 71653-1541 · (870) 265-3808
-
Mr. Daniel Shelton Jr.
316 Main St, Lake Village, AR 71653-1942 · (870) 265-2186
-
Mrs. Laporsha Stanton
316 Main St, Lake Village, AR 71653 · (870) 265-4477
-
Robenette Toney
316 Main St, Lake Village, AR 71653 · (870) 265-4477
-
Martha Weatheroy, MHPP
316 Main St, Lake Village, AR 71653-1942 · (870) 265-2186
-
Latrice Webster
1127 Second St, Lake Village, AR 71653-1541 · (870) 265-3808
-
Jameenah Williams, MHPP
316 Main St, Lake Village, AR 71653-1942 · (870) 265-2186
-
Joe Dan Yee, MHPP
313 Main St, Lake Village, AR 71653-1941 · (870) 265-2186