| Doctor Name: | MRS. LISA MARRIE WHITMAN |
| NPI Number: | 1164658530 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, WCC |
| License Number: | 5080710 |
| Business Practice Address: | 160 Benmont Ave Suite 17 Bennington, VT - 052011873 |
| Business Phone Number: | 8024474569 |
| Business Fax Number: | |
| Mailing Address: | 13 Hillside St, Po Box 48 NORTH BENNINGTON |
| State: | VT |
| Postal Code: | 052579521 |
| Phone Number: | 8024472653 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2009 |
| NPI Last Update Date: | 05/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | 5080710 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |