Lisa M Custeau
Lisa M Custeau is an Attendant Care Provider in Casper, Wyoming. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1430 Wilkins CirCasper, WY 82601-1336
Phone: (307) 237-9583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1649939653 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 17, 2021 |
| Last updated in NPPES | December 17, 2021 |
| Certification date | December 17, 2021 |
| Mailing address | 1430 Wilkins Cir, Casper, WY 82601-1336 |