Black, Lisa Anne
Black, Lisa Anne is an individual health care provider with primary practice located at 220 S Courtenay Pkwy Suite B, Merritt Island FL 32952-4893. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Black, Lisa Anne can be contacted via phone (321) 868-5815.Contact Information
Primary practice address
220 S Courtenay Pkwy Suite B
Merritt Island FL 32952-4893
Phone: (321) 868-5815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 2159422 | Florida |
Profile Details
| NPI number | 1780944520 |
|---|---|
| LBN Legal business name | Black, Lisa Anne |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2012 |
| Last updated | Dec 3rd, 2012 - about 14 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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