Hayes, Lisa C
Hayes, Lisa C is an individual health care provider with primary practice located at 11260 Sullivan Street , Riverview FL 33578. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hayes, Lisa C can be contacted via phone (813) 689-7571.Contact Information
Primary practice address
11260 Sullivan Street
Riverview FL 33578
Phone: (813) 689-7571
Fax: (813) 654-8129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS12662 | Florida |
Profile Details
| NPI number | 1891084018 |
|---|---|
| LBN Legal business name | Hayes, Lisa C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2011 |
| Last updated | Sep 8th, 2021 - about 4 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 | 1891084018 | NPPES |
| Florida | MEDICAID | 011818200 |
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