Provider Demographics
NPI:1568787406
Name:LISA ARNETT
Entity Type:Organization
Organization Name:LISA ARNETT
Other - Org Name:L & G TRANSPORTATION LP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CABELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-412-8253
Mailing Address - Street 1:1029 SHENANDOAH DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-4361
Mailing Address - Country:US
Mailing Address - Phone:765-412-8253
Mailing Address - Fax:765-838-3886
Practice Address - Street 1:1029 SHENANDOAH DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4361
Practice Address - Country:US
Practice Address - Phone:765-412-8253
Practice Address - Fax:765-838-3886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-04
Last Update Date:2010-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INJ5CM918216-00261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service