Lee, Lisa Marie

Lee, Lisa Marie is an sole proprietor health care provider with primary practice located at 2000 Bradford Pl , Harvey LA 70058-1419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lee, Lisa Marie can be contacted via phone (504) 975-9909.

Contact Information

Primary practice address
2000 Bradford Pl Harvey LA 70058-1419
Phone: (504) 975-9909
Fax: (504) 366-4038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 021609 Louisiana

Profile Details

NPI number 1194736439
LBN Legal business name Lee, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Dec 12th, 2011 - about 15 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 1194736439 NPPES
Louisiana MEDICAID 1979031

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