Sonberg, Lisa C

Sonberg, Lisa C is an individual health care provider with primary practice located at 1605 W Fairbanks Ave , Winter Park FL 32789-4603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sonberg, Lisa C can be contacted via phone (407) 975-0200.

Contact Information

Primary practice address
1605 W Fairbanks Ave Winter Park FL 32789-4603
Phone: (407) 975-0200
Fax: (407) 975-0209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 3023332 Florida

Profile Details

NPI number 1689623639
LBN Legal business name Sonberg, Lisa C
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Nov 18th, 2009 - about 17 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 1689623639 NPPES
Florida MEDICAID 306426300

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