Polley, Lisa

Polley, Lisa is an individual health care provider with primary practice located at 2222 Bancroft Way 1140, Berkeley CA 94720-4301. She recently has only one registered license in Nursing Service Providers / College Health, which is considered as her primary health care specialty. Polley, Lisa can be contacted via phone (510) 642-1297.

Contact Information

Primary practice address
2222 Bancroft Way 1140 Berkeley CA 94720-4301
Phone: (510) 642-1297
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / College Health 163WC1400X RN355630 California

Profile Details

NPI number 1316240823
LBN Legal business name Polley, Lisa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2010
Last updated Dec 6th, 2010 - about 16 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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