Beasley, Lisa
Beasley, Lisa is an individual health care provider with primary practice located at 1400 Professional Blvd , Evansville IN 47714-8005. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Beasley, Lisa can be contacted via phone (812) 473-2642.Contact Information
Primary practice address
1400 Professional Blvd
Evansville IN 47714-8005
Phone: (812) 473-2642
Fax: (812) 474-4458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 046103 |
Profile Details
| NPI number | 1992706378 |
|---|---|
| LBN Legal business name | Beasley, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992706378 | NPPES |
| Other | F01344 | CST/CFA CERT # |
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