Kuntz, Lisa Ledlow

Kuntz, Lisa Ledlow is an individual health care provider with primary practice located at 52 Medical Park Drive East Ste 307, Birmingham AL 35235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kuntz, Lisa Ledlow can be contacted via phone (205) 838-3047.

Contact Information

Primary practice address
52 Medical Park Drive East Ste 307 Birmingham AL 35235
Phone: (205) 838-3047
Fax: (205) 838-3497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X KUNI04291580 Alabama

Profile Details

NPI number 1982710299
LBN Legal business name Kuntz, Lisa Ledlow
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Apr 21st, 2010 - about 16 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 1982710299 NPPES
Alabama Other 63-0620636 TAX ID
Alabama Other 051517707 TAX ID
Alabama MEDICAID 051552793 TAX ID
Alabama Other 1982710299 TAX ID
Alabama Other 051500128 TAX ID

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