Daugherty, Lisa Deanne

Daugherty, Lisa Deanne is an individual health care provider with primary practice located at 8367 Tague Rd , Vevay IN 47043-2818. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Daugherty, Lisa Deanne can be contacted via phone (513) 200-9723.

Contact Information

Primary practice address
8367 Tague Rd Vevay IN 47043-2818
Phone: (513) 200-9723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C2-51306 Indiana

Profile Details

NPI number 1538860770
LBN Legal business name Daugherty, Lisa Deanne
Credentials CADAC II
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2023
Last updated Mar 14th, 2023 - about 3 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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