Provider Demographics
NPI:1326427741
Name:HOWARD, LISA (ARDMS)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:ARDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 CRESS SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-9679
Mailing Address - Country:US
Mailing Address - Phone:704-210-8834
Mailing Address - Fax:
Practice Address - Street 1:767 CRESS SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-9679
Practice Address - Country:US
Practice Address - Phone:704-210-8834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1084592471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography