Provider Demographics
NPI:1316378417
Name:VOLPE, LISA
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:VOLPE
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 1:5708 CANAAN CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-9666
Mailing Address - Country:US
Mailing Address - Phone:330-466-9340
Mailing Address - Fax:
Practice Address - Street 1:5708 CANAAN CENTER RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-9666
Practice Address - Country:US
Practice Address - Phone:330-466-9340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-29
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN097371MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse