Hazelwood, Lisa

Hazelwood, Lisa is an individual health care provider with primary practice located at 221 E Comanche Ave , Mcalester OK 74501-5845. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Hazelwood, Lisa can be contacted via phone (918) 423-1181.

Contact Information

Primary practice address
221 E Comanche Ave Mcalester OK 74501-5845
Phone: (918) 423-1181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1275643983
LBN Legal business name Hazelwood, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 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 1275643983 NPPES
Oklahoma Other 499 LICENSE

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