Carlisle, Lee K
Carlisle, Lee K is an individual health care provider with primary practice located at 1610 S Chadbourne St , San Angelo TX 76903-8510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carlisle, Lee K can be contacted via phone (325) 658-5339.Contact Information
Primary practice address
1610 S Chadbourne St
San Angelo TX 76903-8510
Phone: (325) 658-5339
Fax: (325) 659-8524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 553982 | Texas |
Profile Details
| NPI number | 1164423943 |
|---|---|
| LBN Legal business name | Carlisle, Lee K |
| Credentials | APRN, BC, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Aug 26th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164423943 | NPPES |
| Texas | MEDICAID | 111604802 |
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