Ford, Lisa Michelle

Ford, Lisa Michelle is an individual health care provider with primary practice located at 7804 Fairview Rd Ste A , Charlotte NC 28226-4999. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ford, Lisa Michelle can be contacted via phone (704) 316-3136.

Contact Information

Primary practice address
7804 Fairview Rd Ste A Charlotte NC 28226-4999
Fax: (704) 316-3140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A78186 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101249355 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2014-01731 North Carolina

Profile Details

NPI number 1881608248
LBN Legal business name Ford, Lisa Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881608248 NPPES
California Other P00621284 MEDICARE RAIL ROAD

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