Plasencia, Lisa
Plasencia, Lisa is an individual health care provider with primary practice located at 41555 Cook St Ste 100 , Palm Desert CA 92211-5184. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Plasencia, Lisa can be contacted via phone (762) 837-0033.Contact Information
Primary practice address
41555 Cook St Ste 100
Palm Desert CA 92211-5184
Phone: (762) 837-0033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1346705696 |
|---|---|
| LBN Legal business name | Plasencia, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2019 |
| Last updated | Jan 31st, 2019 - about 6 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 | 1346705696 | NPPES |
| California | Other | 454412657 | HR ADMIN |
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