Deafenbaugh, Lisa

Deafenbaugh, Lisa is an individual health care provider with primary practice located at 1704 Sir William Osler Dr , Virginia Beach VA 23454-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Deafenbaugh, Lisa can be contacted via phone (757) 481-4383.

Contact Information

Primary practice address
1704 Sir William Osler Dr Virginia Beach VA 23454-3003
Phone: (757) 481-4383
Fax: (757) 481-4611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001702 Virginia

Profile Details

NPI number 1326157249
LBN Legal business name Deafenbaugh, Lisa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 3rd, 2016 - about 10 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 1326157249 NPPES
Other P00109464 MEDICARE RAILROAD

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