Panicola, Lisa M

Panicola, Lisa M is an individual health care provider with primary practice located at 7400 Highway N , Dardenne Prairie MO 63368-7013. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Panicola, Lisa M can be contacted via phone (636) 561-7080.

Contact Information

Primary practice address
7400 Highway N Dardenne Prairie MO 63368-7013
Phone: (636) 561-7080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2006036530 Missouri

Profile Details

NPI number 1639396534
LBN Legal business name Panicola, Lisa M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 18 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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