Provider Demographics
NPI:1407661994
Name:ARMAGOST, LISA JEAN
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:JEAN
Last Name:ARMAGOST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:MEAD
Mailing Address - State:NE
Mailing Address - Zip Code:68041-0321
Mailing Address - Country:US
Mailing Address - Phone:402-309-9669
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 321
Practice Address - Street 2:
Practice Address - City:MEAD
Practice Address - State:NE
Practice Address - Zip Code:68041-0321
Practice Address - Country:US
Practice Address - Phone:402-309-9669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE63061372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion