Sasso, Lisa Marie

Sasso, Lisa Marie is an individual health care provider with primary practice located at 901 Medical Park Dr Ste 100 , Effingham IL 62401-2191. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Sasso, Lisa Marie can be contacted via phone (217) 347-3003.

Contact Information

Primary practice address
901 Medical Park Dr Ste 100 Effingham IL 62401-2191
Phone: (217) 347-3003
Fax: (217) 347-3005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 036127387 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036127387 Illinois

Profile Details

NPI number 1790941581
LBN Legal business name Sasso, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2008
Last updated Dec 28th, 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 1790941581 NPPES
Illinois MEDICAID 036127387

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