Individual ProviderLisa K StaubSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address71 Orphanage Rd, Ft Mitchell, KY 41017-3006(859) 331-0880PECOS EnrollmentBased on the most recent information from CMS, provider Lisa K Staub 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 ID1518174077Provider TypeIndividualFull NameStaub, Lisa KGenderFemaleSole ProprietorYesEnumeration Date5/16/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address71 Orphanage Rd, Ft Mitchell, KY 41017-3006Phone(859) 331-0880FaxUnlisted FaxMailing LocationMailing Address71 Orphanage Rd, Ft Mitchell, KY 41017-3006Phone(859) 331-0880FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense1523Kentucky