Ricketts, Lisa

Ricketts, Lisa is an individual health care provider with primary practice located at 3607 Manchaca Rd , Austin TX 78704-5947. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ricketts, Lisa can be contacted via phone (512) 444-7215.

Contact Information

Primary practice address
3607 Manchaca Rd Austin TX 78704-5947
Phone: (512) 444-7215
Fax: (512) 444-6005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 105992 Texas

Profile Details

NPI number 1144656745
LBN Legal business name Ricketts, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Sep 16th, 2013 - about 13 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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