LISA IACOFANO (NPI# 1699264093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699264093 |
| Entity Type | Individual |
| Full Name | LISA IACOFANO |
| Practice Address |
275 Carpenter Dr Ste 209 Atlanta GA 30328-4910 |
| Practice Telephone | 4703103142 |
| Mailing Telephone | 4703103142 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
106466 | GA | Allopathic & Osteopathic Physicians |
| Y | 225700000X | Massage Therapist | MT009329 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508891011 | Lisa A Iacofano | Internal Medicine | 335 South Boulder Road, Suite 6, Louisville, CO 80027 | 2006-07-12 |
| Street Address |
275 CARPENTER DR STE 209 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183527 | Alexander Jones | Massage Therapist | 626 Dekalb Ave Se Apt 1445, Atlanta, GA 30312-5409 | 2020-10-30 |
| 1134728124 | Quaniessa Rochelle Jenkins | Massage Therapist | 449 Oak Dr # 2, Atlanta, GA 30354-1228 | 2020-10-20 |
| 1891302089 | Jimmy Little | Massage Therapist | 1253 Caroline St Ne Ste 109, Atlanta, GA 30307-2759 | 2020-09-30 |
| 1588271423 | Queenetta Leflore Jr. | Massage Therapist | 1475 Sand Bay Dr Sw Apt 3007, Atlanta, GA 30331-8989 | 2020-09-24 |
| 1316552441 | Faith Duckworth | Massage Therapist | 115 Pine St Nw Unit 205, Atlanta, GA 30313-4534 | 2020-09-15 |
| 1013521939 | Chaun Walker | Massage Therapist | 219 E Simon Ter Nw, Atlanta, GA 30318-7435 | 2020-09-08 |
| 1780298646 | Kim Desue | Massage Therapist | 220 Sandy Springs Cir, Atlanta, GA 30328-3816 | 2020-09-08 |
| 1730793761 | Scott L Norton | Massage Therapist | 1079 Marietta Blvd Nw Unit 7, Atlanta, GA 30318-4982 | 2020-09-08 |
| 1609480607 | Alonda Lovell | Massage Therapist | 5103 Alexander Cir Ne, Atlanta, GA 30326-1278 | 2020-09-07 |
| 1851905293 | Alexa Rae Catledge | Massage Therapist | 1178 Piedmont Ave Ne Apt C11, Atlanta, GA 30309-3753 | 2020-09-02 |
| Find all providers in ATLANTA | ||||
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| 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.