Sanders, Lisa Jeanne
Sanders, Lisa Jeanne is an individual health care provider with primary practice located at 1315 E 7Th Ave Ste 104 , Tampa FL 33605-3606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Sanders, Lisa Jeanne can be contacted via phone (813) 396-9021.Contact Information
Primary practice address
1315 E 7Th Ave Ste 104
Tampa FL 33605-3606
Phone: (813) 396-9021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 53030 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | ME53030 | Florida |
Profile Details
| NPI number | 1881162402 |
|---|---|
| LBN Legal business name | Sanders, Lisa Jeanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2018 |
| Last updated | Oct 27th, 2020 - about 6 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 | 1881162402 | NPPES |
| Florida | MEDICAID | 107818200 | |
| Florida | Other | MY949 | |
| Florida | Other | 18532 |
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