Provider Demographics
NPI:1508198987
Name:NORRIS, LISA COLLINS
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:COLLINS
Last Name:NORRIS
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 1:850 LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9080
Mailing Address - Country:US
Mailing Address - Phone:910-295-2000
Mailing Address - Fax:910-295-4200
Practice Address - Street 1:850 LINDEN RD
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9080
Practice Address - Country:US
Practice Address - Phone:910-295-2000
Practice Address - Fax:910-295-4200
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4014376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide