Corstvet, Lisa Margaret
Corstvet, Lisa Margaret is an sole proprietor health care provider with primary practice located at 4317 W Memorial Rd , Oklahoma City OK 73134-1720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Corstvet, Lisa Margaret can be contacted via phone (405) 418-4800.Contact Information
Primary practice address
4317 W Memorial Rd
Oklahoma City OK 73134-1720
Phone: (405) 418-4800
Fax: (405) 418-4820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 16541 | Oklahoma |
Profile Details
| NPI number | 1083628044 |
|---|---|
| LBN Legal business name | Corstvet, Lisa Margaret |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 31st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083628044 | NPPES |
| Oklahoma | Other | 612216600 | DOL |
| Oklahoma | MEDICAID | 100107550A | DOL |
| Oklahoma | Other | P00398663 | DOL |
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