Eckhardt, Lisa Dawn

Eckhardt, Lisa Dawn is an individual health care provider with primary practice located at 5460 Main St Ste 102 , Del City OK 73115-5525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Eckhardt, Lisa Dawn can be contacted via phone (405) 610-6998.

Contact Information

Primary practice address
5460 Main St Ste 102 Del City OK 73115-5525
Phone: (405) 610-6998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10001357A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2015007864 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085004016 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2550 Oklahoma

Profile Details

NPI number 1366729279
LBN Legal business name Eckhardt, Lisa Dawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2011
Last updated Aug 29th, 2019 - about 7 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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