Carter, Lisa

Carter, Lisa is an individual health care provider with primary practice located at 4811 Buckley Rd , Liverpool NY 13088-3676. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Carter, Lisa can be contacted via phone (315) 457-9966.

Contact Information

Primary practice address
4811 Buckley Rd Liverpool NY 13088-3676
Phone: (315) 457-9966
Fax: (315) 457-9854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F382778 New York

Profile Details

NPI number 1871011346
LBN Legal business name Carter, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2017
Last updated Jul 21st, 2022 - about 4 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 1871011346 NPPES
New York Other F382778 NYS NP LICENSE

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