Floyd, Lisa Altavia

Floyd, Lisa Altavia is an sole proprietor health care provider with primary practice located at 13634 Royalwood Ln , Charlotte NC 28273-4716. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Floyd, Lisa Altavia can be contacted via phone (704) 583-2389.

Contact Information

Primary practice address
13634 Royalwood Ln Charlotte NC 28273-4716
Fax: (704) 583-2389
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3679 North Carolina

Profile Details

NPI number 1417025099
LBN Legal business name Floyd, Lisa Altavia
Credentials SPEECH-LANGUAGE PATH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jul 9th, 2007 - about 19 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 1417025099 NPPES
North Carolina MEDICAID 7432970

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