Angel, Lisa

Angel, Lisa is an individual health care provider with primary practice located at 1221 S Broadway , Lexington KY 40504-2701. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Angel, Lisa can be contacted via phone (859) 258-6200.

Contact Information

Primary practice address
1221 S Broadway Lexington KY 40504-2701
Phone: (859) 258-6200
Fax: (859) 258-6203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3016580 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016580 Kentucky

Profile Details

NPI number 1073282992
LBN Legal business name Angel, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2021
Last updated Sep 27th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073282992 NPPES
Kentucky MEDICAID 7100846940

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