Individual ProviderLisa HermesDental HygienistDental ProvidersPractice AddressUnit 28038, Apo, AE 09112-8038011499662834738PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Hermes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1073911582Provider TypeIndividualFull NameHermes, LisaGenderFemaleSole ProprietorNoEnumeration Date12/16/2014Last Updated12/16/2014Contact InformationPractice LocationPractice AddressUnit 28038, Apo, AE 09112-8038Phone011499662834738FaxUnlisted FaxMailing LocationMailing AddressUnit 28038, Apo, AE 09112-8038Phone011499662834738FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode124Q00000XPrimaryDescriptionDental HygienistDental ProvidersLicenseDH21604Florida