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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881162402 NPPES
Florida MEDICAID 107818200
Florida Other MY949
Florida Other 18532

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