Abu-Samra, Lisa
Abu-Samra, Lisa is an sole proprietor health care provider with primary practice located at 1890 Silver Cross Blvd , New Lenox IL 60451-9524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Abu-Samra, Lisa can be contacted via phone (815) 717-6082.Contact Information
Primary practice address
1890 Silver Cross Blvd
New Lenox IL 60451-9524
Phone: (815) 717-6082
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209015160 | Illinois |
Profile Details
| NPI number | 1215479621 |
|---|---|
| LBN Legal business name | Abu-Samra, Lisa |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2016 |
| Last updated | Nov 16th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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