Mixon, Lisa A

Mixon, Lisa A is an individual health care provider with primary practice located at 130 Lomond Ct , Utica NY 13502-5951. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mixon, Lisa A can be contacted via phone (315) 724-4286.

Contact Information

Primary practice address
130 Lomond Ct Utica NY 13502-5951
Phone: (315) 724-4286
Fax: (315) 724-4170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2185967 New York

Profile Details

NPI number 1740550102
LBN Legal business name Mixon, Lisa A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2012
Last updated Jan 3rd, 2012 - about 14 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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