Crockom, Lisa
Crockom, Lisa is an sole proprietor health care provider with primary practice located at 1838 E. Badillo Street Apt 1 , Los Angeles CA 90001. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Crockom, Lisa can be contacted via phone (626) 324-2190.Contact Information
Primary practice address
1838 E. Badillo Street Apt 1
Los Angeles CA 90001
Phone: (626) 324-2190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1730722539 |
|---|---|
| LBN Legal business name | Crockom, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2019 |
| Last updated | Oct 24th, 2019 - 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.
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