Romard, Lisa
Romard, Lisa is an individual health care provider with primary practice located at Stony Brook Childrens Hospital T-11, Rm 080, Stony Brook NY 11794-8111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Romard, Lisa can be contacted via phone (631) 444-8340.Contact Information
Primary practice address
Stony Brook Childrens Hospital T-11, Rm 080
Stony Brook NY 11794-8111
Phone: (631) 444-8340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F381249 | New York |
Profile Details
| NPI number | 1174566079 |
|---|---|
| LBN Legal business name | Romard, Lisa |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 28th, 2017 - about 9 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 | 1174566079 | NPPES |
| New York | Other | 93N781 | EMPIRE BC.BS |
| New York | MEDICAID | 02049907 | EMPIRE BC.BS |
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