LISA ANN DIBONA
NPI 1881270874
Student in an Organized Health Care Education/Training Program in Mishawaka, IN
About Lisa Ann Dibona NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA ANN DIBONA (NPI 1881270874) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Ann Dibona is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881270874, enumerated as an "individual" on March 22, 2021.
The provider is located at 611 E DOUGLAS RD STE 407 MISHAWAKA, IN 46545 and the phone number is (574) 335-6500.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
