Packard, Lisa
Packard, Lisa is an sole proprietor health care provider with primary practice located at 906 Wingate Trl , Port Orange FL 32128-7524. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Packard, Lisa can be contacted via phone (989) 262-9905.Contact Information
Primary practice address
906 Wingate Trl
Port Orange FL 32128-7524
Phone: (989) 262-9905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW13499 | Florida |
Profile Details
| NPI number | 1053819953 |
|---|---|
| LBN Legal business name | Packard, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2018 |
| Last updated | Mar 17th, 2018 - about 8 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.
Popular Providers
-
Levy, Sue
3959 S Nova Rd Ste 23 , Port Orange FL 32127-9229 -
Corbin, Roger L.
900 N Swallow Tail Dr Ste 105 , Port Orange FL 32129-6103 -
Nelson, Jonathan Richard
900 N Swallow Tail Dr Ste 105 , Port Orange FL 32129-6103 -
Lyon-Goldman, Zoe
3959 S Nova Rd Ste 12 , Port Orange FL 32127-4900 -
Ackerman, Cassandre
Davita Dialysis 3997 South Nova Road, Port Orange FL 32127-1230 -
Deluera, Marilyn B
4770 S Ridgewood Ave , Port Orange FL 32127-4544 -
Menendez, Liana Noelle
4770 S Ridgewood Ave , Port Orange FL 32127-4544 -
Branch, Jim
4319 S Ridgewood Ave , Port Orange FL 32127-4522