Stull, Lisa A

Stull, Lisa A is an sole proprietor health care provider with primary practice located at 1836 Virginia Ave , Martinsville VA 24112-8490. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stull, Lisa A can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
1836 Virginia Ave Martinsville VA 24112-8490
Phone: (833) 510-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002427 Virginia

Profile Details

NPI number 1396827994
LBN Legal business name Stull, Lisa A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Jan 6th, 2025 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396827994 NPPES
Virginia MEDICAID 010340420

Popular Providers