Clayton, Lisa Tan

Clayton, Lisa Tan is an individual health care provider with primary practice located at 890 S Pleasantburg Dr , Greenville SC 29607-2455. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clayton, Lisa Tan can be contacted via phone (864) 271-1450.

Contact Information

Primary practice address
890 S Pleasantburg Dr Greenville SC 29607-2455
Phone: (864) 271-1450
Fax: (864) 271-3914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22123 South Carolina

Profile Details

NPI number 1144256082
LBN Legal business name Clayton, Lisa Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 17th, 2016 - about 10 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 1144256082 NPPES
South Carolina Other 5123190 AETNA
South Carolina MEDICAID 221236 AETNA
South Carolina Other 57-1004971003 AETNA

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