Delacruz, Lisa M.

Delacruz, Lisa M. is an individual health care provider with primary practice located at 14215 Ballantyne Corporate Pl Suite 130, Charlotte NC 28277-3670. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Delacruz, Lisa M. can be contacted via phone (704) 384-1950.

Contact Information

Primary practice address
14215 Ballantyne Corporate Pl Suite 130 Charlotte NC 28277-3670
Phone: (704) 384-1950
Fax: (704) 384-1955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20122290 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5006132 North Carolina

Profile Details

NPI number 1063758142
LBN Legal business name Delacruz, Lisa M.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2012
Last updated Oct 28th, 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.

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