Individual provider · Type 1 NPI
Lisa Willette
Licensed Practical Nurse · Coralville, IA
NPI number
1639039415
Active
Practice location
2213 2nd St
Coralville, IA 52241-1205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | P36063 (IA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1639039415
Lisa Willette's National Provider Identifier is 1639039415, issued on Nov 14, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Coralville, IA. The record was last updated on Nov 14, 2025.