Provider Demographics
NPI:1053926170
Name:ROWLEY, LISA RUTH (CNA)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:RUTH
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:868 SOUTHAMPTON RD TRLR 61
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1337
Mailing Address - Country:US
Mailing Address - Phone:774-992-3692
Mailing Address - Fax:
Practice Address - Street 1:39 BELMONT ST
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056-1914
Practice Address - Country:US
Practice Address - Phone:413-563-6259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health