Marciniak, Lisa M

Marciniak, Lisa M is an individual health care provider with primary practice located at 2650 N Tenaya Way #301, Las Vegas NV 89128-1102. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Marciniak, Lisa M can be contacted via phone (702) 878-0393.

Contact Information

Primary practice address
2650 N Tenaya Way #301 Las Vegas NV 89128-1102
Phone: (702) 878-0393
Fax: (702) 939-5014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1528337177
LBN Legal business name Marciniak, Lisa M
Credentials CST, CFA, OPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2011
Last updated Dec 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 1528337177 NPPES
Nevada Other 081087 NATIONAL BOARD OF SURGICAL TECHNOLOGY & SURGICAL ASSISTING CERTIFICATE NUMBER

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