Most Relevant Information
Provider Data
| NPI Number: | 1003569039 |
| Provider Name: | LISA LANTAFF |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2022 |
| Last Updated: | 01/31/2022 |
Provider Practice Location
60 S STOCKWELL RD
EVANSVILLE
IN
477140247
Practice Location Phone/Fax
| Phone: | 8124237791 |
| Fax: |
Provider Mailing Location
415 MULBERRY ST
EVANSVILLE
IN
477131230
Provider Mailing Phone/Fax
| Phone: | 8124364306 |
| Fax: |