Haggerty, Lisa Mary
Haggerty, Lisa Mary is an sole proprietor health care provider with primary practice located at 220 Route 6 And 209 , Milford PA 18337-9454. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Haggerty, Lisa Mary can be contacted via phone (570) 491-5334.Contact Information
Primary practice address
220 Route 6 And 209
Milford PA 18337-9454
Phone: (570) 491-5334
Fax: (570) 491-5506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001987 | Pennsylvania |
Profile Details
| NPI number | 1316967094 |
|---|---|
| LBN Legal business name | Haggerty, Lisa Mary |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jan 25th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316967094 | NPPES |
| Pennsylvania | MEDICAID | 1025391940001 |
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