Park, Lisa Regina

Park, Lisa Regina is an individual health care provider with primary practice located at 5501 Fortunes Ridge Dr Ste A , Durham NC 27713-6102. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is 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 Ste A Durham NC 27713-6102
Phone: (919) 419-1449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 7316 North Carolina
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 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 17th, 2024 - about 2 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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