Chavez, Lisa D

Chavez, Lisa D is an individual health care provider with primary practice located at 11719 Zephyr Way , South Jordan UT 84095-8196. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Chavez, Lisa D can be contacted via phone (801) 597-0303.

Contact Information

Primary practice address
11719 Zephyr Way South Jordan UT 84095-8196
Phone: (801) 597-0303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8041687-6009 Utah

Profile Details

NPI number 1831407071
LBN Legal business name Chavez, Lisa D
Credentials APC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2010
Last updated May 16th, 2012 - about 14 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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