Provider Demographics
NPI:1558515650
Name:STRICKER, LISA (NP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:STRICKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:GUTHRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2900 12TH AVE N STE 335W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7590
Mailing Address - Country:US
Mailing Address - Phone:406-237-8808
Mailing Address - Fax:406-237-8810
Practice Address - Street 1:2900 12TH AVE N STE 335W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7590
Practice Address - Country:US
Practice Address - Phone:406-237-8808
Practice Address - Fax:406-237-8810
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209007329363L00000X
MT101022363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL6447860003Medicare NSC
ILIL3270047Medicare PIN
IL0533210001Medicare NSC
IL407270003Medicare PIN