Provider Demographics
NPI:1003388075
Name:PAGLIA, LISA JOY (RN)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:JOY
Last Name:PAGLIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2998 NE 5TH TRL
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-3326
Mailing Address - Country:US
Mailing Address - Phone:661-524-1733
Mailing Address - Fax:
Practice Address - Street 1:2998 NE 5TH TRL
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-3326
Practice Address - Country:US
Practice Address - Phone:661-524-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-01
Last Update Date:2019-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2856812163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty