Palestra, Lisa Long
Palestra, Lisa Long is an sole proprietor health care provider with primary practice located at 4282 W Linebaugh Ave , Tampa FL 33624-5241. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Palestra, Lisa Long can be contacted via phone (813) 930-6112.Contact Information
Primary practice address
4282 W Linebaugh Ave
Tampa FL 33624-5241
Phone: (813) 930-6112
Fax: (813) 930-6332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH6821 | Florida |
Profile Details
| NPI number | 1972548014 |
|---|---|
| LBN Legal business name | Palestra, Lisa Long |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Apr 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972548014 | NPPES |
| Florida | MEDICAID | 381816100 |
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