Park, Lisa Regina

Park, Lisa Regina is an individual health care provider with primary practice located at 5501 Fortunes Ridge Dr Suite A, Durham NC 27713-6102. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Park, Lisa Regina can be contacted via phone (919) 419-1449.

Contact Information

Primary practice address
5501 Fortunes Ridge Dr Suite A Durham NC 27713-6102
Phone: (919) 419-1449
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X North Carolina
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 7316 North Carolina

Profile Details

NPI number 1558414938
LBN Legal business name Park, Lisa Regina
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Oct 4th, 2022 - about 4 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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