Radix, Lisa Erelis

Radix, Lisa Erelis is an individual health care provider with primary practice located at 3801 N Highway 19A Ste 400 , Mount Dora FL 32757-2228. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Radix, Lisa Erelis can be contacted via phone (352) 383-1245.

Contact Information

Primary practice address
3801 N Highway 19A Ste 400 Mount Dora FL 32757-2228
Phone: (352) 383-1245
Fax: (270) 887-8340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 3663 Kentucky
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 32227 Tennessee
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME104289 Florida

Profile Details

NPI number 1932109964
LBN Legal business name Radix, Lisa Erelis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Sep 26th, 2023 - about 3 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 1932109964 NPPES
Kentucky MEDICAID 64047830
Kentucky Other 390008487
Kentucky Other 000000220426

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