Provider Demographics
NPI:1427585512
Name:SCHMITZ, LISA
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:SCHMITZ
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 1:880 MOTSIFF RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7241
Mailing Address - Country:US
Mailing Address - Phone:406-439-1147
Mailing Address - Fax:406-449-8285
Practice Address - Street 1:880 MOTSIFF RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-7241
Practice Address - Country:US
Practice Address - Phone:406-439-1147
Practice Address - Fax:406-449-8285
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health