Labotte, Lisa

Labotte, Lisa is an sole proprietor health care provider with primary practice located at 900 W White St , Marion IL 62959-1855. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Labotte, Lisa can be contacted via phone (618) 889-3220.

Contact Information

Primary practice address
900 W White St Marion IL 62959-1855
Phone: (618) 889-3220
Fax: (618) 969-7174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227.006986 Illinois

Profile Details

NPI number 1053709519
LBN Legal business name Labotte, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2015
Last updated Jan 6th, 2015 - 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 1053709519 NPPES
Illinois Other 227.006986 ILLINOIS DEPARTMENT OF FEDERAL AND PROFESSIONAL REGULATION

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