LISA CUDA MCCARRON


Address: 5500 E Cheryl Pkwy, Suite 103, Fitchburg, WI 53711-5336
Phone: 6082733937

LISA CUDA MCCARRON (NPI# 1053553453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053553453
Entity Type Individual
Full Name LISA CUDA MCCARRON
Practice Address 5500 E Cheryl Pkwy
Suite 103
Fitchburg
WI 53711-5336
Mailing Address 8417 Dolomite Ln
Madison
WI 53719-4614
Practice Telephone 6082733937
Mailing Telephone 6088481737
Enumeration Date 2009-03-31
Last Update Date 2009-03-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Office Location

Street Address 5500 E CHERYL PKWY
SUITE 103
City FITCHBURG
State WI
Zip Code 53711-5336

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City FITCHBURG
Zip Code 53711

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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