Provider Demographics
NPI:1487240271
Name:STRINGER, LISA MICHELLE (OTR)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MICHELLE
Last Name:STRINGER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 HOGAN ST
Mailing Address - Street 2:
Mailing Address - City:WAVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39576-2817
Mailing Address - Country:US
Mailing Address - Phone:228-216-0002
Mailing Address - Fax:
Practice Address - Street 1:100 BEAU WEST DR
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-3090
Practice Address - Country:US
Practice Address - Phone:985-231-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist