Menchion, Lisa E

Menchion, Lisa E is an individual health care provider with primary practice located at 515 63Rd Ave E , Bradenton FL 34203-7614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Menchion, Lisa E can be contacted via phone (941) 304-3960.

Contact Information

Primary practice address
515 63Rd Ave E Bradenton FL 34203-7614
Phone: (941) 304-3960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN2218092 Florida

Profile Details

NPI number 1356885503
LBN Legal business name Menchion, Lisa E
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2016
Last updated Jul 18th, 2024 - about 2 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 1356885503 NPPES
Florida MEDICAID 020455100

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