Provider Demographics
NPI:1356998413
Name:ARKULARI, LISA MAE
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:MAE
Last Name:ARKULARI
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 1:537 ELLIS DR.
Mailing Address - Street 2:
Mailing Address - City:WRAY
Mailing Address - State:CO
Mailing Address - Zip Code:80758
Mailing Address - Country:US
Mailing Address - Phone:970-630-1434
Mailing Address - Fax:
Practice Address - Street 1:537 ELLIS DR.
Practice Address - Street 2:
Practice Address - City:WRAY
Practice Address - State:CO
Practice Address - Zip Code:80758
Practice Address - Country:US
Practice Address - Phone:970-630-1434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider