Pietig, Lisa M

Pietig, Lisa M is an individual health care provider with primary practice located at 575 S 70Th St Suite 200, Lincoln NE 68510-2471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pietig, Lisa M can be contacted via phone (402) 488-3322.

Contact Information

Primary practice address
575 S 70Th St Suite 200 Lincoln NE 68510-2471
Phone: (402) 488-3322
Fax: (402) 488-1172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1701 Nebraska

Profile Details

NPI number 1588902605
LBN Legal business name Pietig, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Jan 9th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588902605 NPPES
Nebraska MEDICAID 470703099-13

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