Roberts, Lisa R

Roberts, Lisa R is an individual health care provider with primary practice located at 1201 Brookside Ave , Redlands CA 92373-4402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roberts, Lisa R can be contacted via phone (909) 798-6524.

Contact Information

Primary practice address
1201 Brookside Ave Redlands CA 92373-4402
Phone: (909) 798-6524
Fax: (909) 792-0858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18676 California

Profile Details

NPI number 1437193711
LBN Legal business name Roberts, Lisa R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 11th, 2015 - about 11 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 1437193711 NPPES
Oregon MEDICAID 268622

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