Hart, Lisa E

Hart, Lisa E is an individual health care provider with primary practice located at 715 W Main St Ste S , Jenks OK 74037-3553. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hart, Lisa E can be contacted via phone (918) 745-0501.

Contact Information

Primary practice address
715 W Main St Ste S Jenks OK 74037-3553
Phone: (918) 745-0501
Fax: (918) 747-9778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4161 Oklahoma

Profile Details

NPI number 1053395327
LBN Legal business name Hart, Lisa E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jan 9th, 2020 - about 6 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 1053395327 NPPES
Oklahoma MEDICAID 200182250B

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