Comerford, Lisa

Comerford, Lisa is an individual health care provider with primary practice located at 285 W 12Th St Ste. 205, Peru IN 46970-1653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Comerford, Lisa can be contacted via phone (765) 473-6400.

Contact Information

Primary practice address
285 W 12Th St Ste. 205 Peru IN 46970-1653
Phone: (765) 473-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001007A Indiana

Profile Details

NPI number 1841257102
LBN Legal business name Comerford, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841257102 NPPES
Indiana MEDICAID 100351380

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