Benepe, Lisa Miriam
Benepe, Lisa Miriam is an individual health care provider with primary practice located at 1911 Johnson Ave , San Luis Obispo CA 93401-4131. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Benepe, Lisa Miriam can be contacted via phone (805) 543-5353.Contact Information
Primary practice address
1911 Johnson Ave
San Luis Obispo CA 93401-4131
Phone: (805) 543-5353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A176547 | California |
Profile Details
| NPI number | 1699234542 |
|---|---|
| LBN Legal business name | Benepe, Lisa Miriam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2019 |
| Last updated | Jun 28th, 2022 - about 4 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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