Simmons, Lisa J

Simmons, Lisa J is an individual health care provider with primary practice located at 3850 S National Ave Suite 600, Springfield MO 65807-5287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Simmons, Lisa J can be contacted via phone (417) 882-4880.

Contact Information

Primary practice address
3850 S National Ave Suite 600 Springfield MO 65807-5287
Phone: (417) 882-4880
Fax: (417) 882-7843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 33840 Iowa

Profile Details

NPI number 1790773737
LBN Legal business name Simmons, Lisa J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Aug 3rd, 2009 - about 16 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 1790773737 NPPES
Iowa Other P00687435 RR MEDICARE
Iowa MEDICAID 1790773737 RR MEDICARE
Iowa MEDICAID 2226035 RR MEDICARE
Iowa Other 36328 RR MEDICARE

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