Bork, Lisa K.

Bork, Lisa K. is an individual health care provider with primary practice located at 1665 Sw Highway 484 Ste 105 , Ocala FL 34473-1996. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bork, Lisa K. can be contacted via phone (352) 693-5900.

Contact Information

Primary practice address
1665 Sw Highway 484 Ste 105 Ocala FL 34473-1996
Phone: (352) 693-5900
Fax: (352) 693-5805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X L10018050 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9466961 Florida

Profile Details

NPI number 1013008390
LBN Legal business name Bork, Lisa K.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jun 28th, 2021 - about 5 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 1013008390 NPPES
Maryland MEDICAID 4039858
Maryland MEDICAID 0023825

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