Owens, Lisa L

Owens, Lisa L is an individual health care provider with primary practice located at 220 S Division Ave , Sandpoint ID 83864-1759. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Owens, Lisa L can be contacted via phone (208) 265-4514.

Contact Information

Primary practice address
220 S Division Ave Sandpoint ID 83864-1759
Phone: (208) 265-4514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-792 Idaho

Profile Details

NPI number 1154873339
LBN Legal business name Owens, Lisa L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2016
Last updated Nov 3rd, 2016 - about 9 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 1154873339 NPPES
Idaho MEDICAID PENDING

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