Hardisty, Lisa I

Hardisty, Lisa I is an individual health care provider with primary practice located at 1200 Pleasant St , Des Moines IA 50309-1406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hardisty, Lisa I can be contacted via phone (515) 241-5926.

Contact Information

Primary practice address
1200 Pleasant St Des Moines IA 50309-1406
Phone: (515) 241-5926
Fax: (515) 241-5127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25715 Nebraska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R-8037 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41384 Iowa

Profile Details

NPI number 1013112424
LBN Legal business name Hardisty, Lisa I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Mar 7th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013112424 NPPES
Iowa MEDICAID 1013112424

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