Lisa Faulkner

NPI #1881960854 in Evanston, Wyoming

Provider Information

NPI Number: 1881960854
Entity Type: Organization
Organization Name: Lisa Faulkner
Subpart: Yes (part of a larger organization)
Parent Organization: PIONEER COUNSELING SERVICES
Primary Specialty: Community Health Worker
Enumeration Date: Mar 23, 2012
Last Updated: Apr 18, 2012

Practice Location

Address: 350 CITY VIEW DR
Address 2: SUITE 302
City: Evanston
State: Wyoming
ZIP Code: 82930-5327
Phone: (307) 789-7915

Authorized Official

Name: LISA FAULKNER
Title: DAILY LIVING ASSISTANT
Phone: (307) 789-7915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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