Mckenna, Lisa Fogel

Mckenna, Lisa Fogel is an sole proprietor health care provider with primary practice located at 2605 Blue Ridge Rd Ste 320 , Raleigh NC 27607-6475. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Mckenna, Lisa Fogel can be contacted via phone (919) 787-8555.

Contact Information

Primary practice address
2605 Blue Ridge Rd Ste 320 Raleigh NC 27607-6475
Phone: (919) 787-8555
Fax: (919) 787-8112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 2006-00726 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2006-00726 North Carolina

Profile Details

NPI number 1366440273
LBN Legal business name Mckenna, Lisa Fogel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Nov 23rd, 2023 - about 3 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 1366440273 NPPES
North Carolina MEDICAID 5903995

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