Carlson, Lisa C

Carlson, Lisa C is an individual health care provider with primary practice located at 1 Continental Dr , Elizabethtown PA 17022-2231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carlson, Lisa C can be contacted via phone (717) 361-0666.

Contact Information

Primary practice address
1 Continental Dr Elizabethtown PA 17022-2231
Phone: (717) 361-0666
Fax: (717) 361-0202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD068946L Pennsylvania

Profile Details

NPI number 1386601441
LBN Legal business name Carlson, Lisa C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Apr 27th, 2018 - about 8 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 1386601441 NPPES
Pennsylvania MEDICAID 0017580860001

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