Provider Demographics
NPI:1033175245
Name:OSKARDMAY, LISA (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:OSKARDMAY
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2231
Mailing Address - Country:US
Mailing Address - Phone:919-929-1400
Mailing Address - Fax:866-292-9855
Practice Address - Street 1:205 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2231
Practice Address - Country:US
Practice Address - Phone:919-929-1400
Practice Address - Fax:866-292-9855
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC591171100000X
NC2221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0830COtherBCBS
NC890830CMedicaid
NCU73566Medicare UPIN
NC890830CMedicaid