Provider Demographics
NPI:1851810063
Name:NARCISSE, LISA CECILY (CNA, HHA)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:CECILY
Last Name:NARCISSE
Suffix:
Gender:F
Credentials:CNA, HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 E WOODLYN RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-3243
Mailing Address - Country:US
Mailing Address - Phone:626-644-0459
Mailing Address - Fax:
Practice Address - Street 1:1941 E WOODLYN RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-3243
Practice Address - Country:US
Practice Address - Phone:626-644-0459
Practice Address - Fax:626-644-0459
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No172V00000XOther Service ProvidersCommunity Health Worker