Luick, Lisa Marie

Luick, Lisa Marie is an individual health care provider with primary practice located at 3555 E Fry Blvd , Sierra Vista AZ 85635-2972. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Luick, Lisa Marie can be contacted via phone (520) 515-2872.

Contact Information

Primary practice address
3555 E Fry Blvd Sierra Vista AZ 85635-2972
Phone: (520) 515-2872
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN136448 Arizona

Profile Details

NPI number 1083907703
LBN Legal business name Luick, Lisa Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2011
Last updated May 27th, 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 1083907703 NPPES
Arizona MEDICAID 579633

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