Dalton, Lisa L

Dalton, Lisa L is an individual health care provider with primary practice located at 1855 Lakeland Dr Ste M20, Jackson MS 39216-4913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dalton, Lisa L can be contacted via phone (601) 364-1132.

Contact Information

Primary practice address
1855 Lakeland Dr Ste M20 Jackson MS 39216-4913
Phone: (601) 364-1132
Fax: (601) 364-1134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R882967 Mississippi

Profile Details

NPI number 1104166891
LBN Legal business name Dalton, Lisa L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Feb 18th, 2013 - about 13 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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