Lisch, Gina

Lisch, Gina is an individual health care provider with primary practice located at 15474 W Greenway Rd , Surprise AZ 85374-4348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lisch, Gina can be contacted via phone (623) 584-1964.

Contact Information

Primary practice address
15474 W Greenway Rd Surprise AZ 85374-4348
Phone: (623) 584-1964
Fax: (623) 544-2359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN297329NP5983 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN155396NP07758 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN138704AP2390 Arizona

Profile Details

NPI number 1336116433
LBN Legal business name Lisch, Gina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Dec 9th, 2021 - about 5 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 1336116433 NPPES
Ohio Other 341458069GL SUMMA INSURANCE
Ohio MEDICAID 2521462 SUMMA INSURANCE

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