Rosenberg, Lisa Joy

Rosenberg, Lisa Joy is an individual health care provider with primary practice located at 8655 S Eastern Ave , Las Vegas NV 89123-2839. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Rosenberg, Lisa Joy can be contacted via phone (702) 671-1111.

Contact Information

Primary practice address
8655 S Eastern Ave Las Vegas NV 89123-2839
Phone: (702) 671-1111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD074189L Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 11970 Nevada

Profile Details

NPI number 1326013764
LBN Legal business name Rosenberg, Lisa Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 21st, 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 1326013764 NPPES
Nevada MEDICAID 100510106
Nevada MEDICAID 1326013764

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