Mount, Lisa E

Mount, Lisa E is an individual health care provider with primary practice located at 3361 Highway 9 E , Little River SC 29566-7826. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mount, Lisa E can be contacted via phone (843) 497-5929.

Contact Information

Primary practice address
3361 Highway 9 E Little River SC 29566-7826
Fax: (866) 778-9612
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 20187 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20187 South Carolina

Profile Details

NPI number 1467443606
LBN Legal business name Mount, Lisa E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 28th, 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 1467443606 NPPES
South Carolina MEDICAID 201873

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