Green, Lisa Ann

Green, Lisa Ann is an individual health care provider with primary practice located at 1304 N University Dr , Coral Springs FL 33071-6623. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Green, Lisa Ann can be contacted via phone (954) 977-0888.

Contact Information

Primary practice address
1304 N University Dr Coral Springs FL 33071-6623
Phone: (954) 977-0888
Fax: (954) 804-0933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0006683 Florida

Profile Details

NPI number 1558349654
LBN Legal business name Green, Lisa Ann
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 23rd, 2015 - about 11 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 1558349654 NPPES
Florida MEDICAID 380828900

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