Spencer, Lisa Marie

Spencer, Lisa Marie is an sole proprietor health care provider with primary practice located at 210 Ashville Ave , Cary NC 27518-6676. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Spencer, Lisa Marie can be contacted via phone (919) 235-6460.

Contact Information

Primary practice address
210 Ashville Ave Cary NC 27518-6676
Phone: (919) 235-6460
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4351046183 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2024-01859 North Carolina

Profile Details

NPI number 1790307098
LBN Legal business name Spencer, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2020
Last updated Sep 6th, 2024 - about 2 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 1790307098 NPPES
North Carolina MEDICAID 1790307098

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