Grizzle, Lisa
Grizzle, Lisa is an sole proprietor health care provider with primary practice located at 330 El Cerro Mission , Los Lunas NM 87031. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Grizzle, Lisa can be contacted via phone (361) 772-8419.Contact Information
Primary practice address
330 El Cerro Mission
Los Lunas NM 87031
Phone: (361) 772-8419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 3672 | New Mexico |
Profile Details
| NPI number | 1700327293 |
|---|---|
| LBN Legal business name | Grizzle, Lisa |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2017 |
| Last updated | Mar 16th, 2017 - about 8 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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