Provider Demographics
NPI:1962073197
Name:BIGGS, LISA
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:BIGGS
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 1:2714 TERRACE RD SE APT B616
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-2519
Mailing Address - Country:US
Mailing Address - Phone:202-361-6406
Mailing Address - Fax:
Practice Address - Street 1:2714 TERRACE RD SE APT B616
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2519
Practice Address - Country:US
Practice Address - Phone:202-361-6406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant