Carr, Lisa

Carr, Lisa is an sole proprietor health care provider with primary practice located at 113 Ambleside Dr , Leesburg GA 31763-5346. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Carr, Lisa can be contacted via phone (229) 395-0302.

Contact Information

Primary practice address
113 Ambleside Dr Leesburg GA 31763-5346
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19406 Georgia
Pharmacy Service Providers / Pharmacist 183500000X PS29563 Florida
Pharmacy Service Providers / Pharmacist 183500000X 8748 South Carolina

Profile Details

NPI number 1437556859
LBN Legal business name Carr, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2014
Last updated Dec 1st, 2014 - about 12 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 1437556859 NPPES
Other 328347 NABP

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