King, Lisa Ann

King, Lisa Ann is an individual health care provider with primary practice located at 7301 Stonerock Cir , Orlando FL 32819-8004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. King, Lisa Ann can be contacted via phone (407) 298-6950.

Contact Information

Primary practice address
7301 Stonerock Cir Orlando FL 32819-8004
Phone: (407) 298-6950
Fax: (407) 578-2354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 2547 Florida

Profile Details

NPI number 1245405729
LBN Legal business name King, Lisa Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Nov 14th, 2016 - about 10 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 1245405729 NPPES
Florida MEDICAID 004694300
Florida Other PA2547

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