MRS. LISA GAY WADE OTRL
NPI 1154489516
Specialist in Enterprise, AL

Q: What is Lisa Wade's NPI number?

The NPI number for Lisa Wade is 1154489516. It was assigned to this individual provider in the NPPES registry on December 5, 2006. The provider is also known as Mrs. Lisa Gay Skeen Otrl.

Q: What is Lisa Wade's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wade was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 05, 2006

557 GLOVER AVE STE 5, ENTERPRISE, AL 36330(334) 347-0234(334) 393-4495 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Lisa Gay Wade Otrl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA GAY WADE OTRL (NPI 1154489516) is an individual specialist in Enterprise, Alabama, licensed in Alabama (0106) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1154489516

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. LISA GAY WADECredential: OTRL

Location Address557 GLOVER AVE STE 5Enterprise, AL 36330-2070

Mailing Address557 Glover Ave Ste 5Enterprise, AL 36330-2070 · (334) 347-0234 · Fax (334) 393-4495

Phone(334) 347-0234

Fax(334) 393-4495

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1154489516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AL · 0106

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

557 GLOVER AVE STE 5, Enterprise, AL 36330

Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Lisa Gay Skeen Otrl

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Wade's NPI number?

The NPI number for Lisa Wade is 1154489516. It was assigned to this individual provider in the NPPES registry on December 5, 2006. The provider is also known as Mrs. Lisa Gay Skeen Otrl.

Where is Lisa Wade located?

Lisa Wade practices at 557 Glover Ave Ste 5, Enterprise, AL 36330. The listed phone number is (334) 347-0234.

What is Lisa Wade's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Wade was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.