Provider Demographics
NPI:1801417225
Name:LISH, BARBARA ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ELIZABETH
Last Name:LISH
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 1:311 YOUNGLOVE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-5349
Mailing Address - Country:US
Mailing Address - Phone:970-319-6536
Mailing Address - Fax:
Practice Address - Street 1:311 YOUNGLOVE AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-5349
Practice Address - Country:US
Practice Address - Phone:970-319-6536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula