Sullivan, Lisa

Sullivan, Lisa is an sole proprietor health care provider with primary practice located at 252 California Ct , Mission Viejo CA 92692-4098. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sullivan, Lisa can be contacted via phone (949) 697-9228.

Contact Information

Primary practice address
252 California Ct Mission Viejo CA 92692-4098
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OTA2143 California

Profile Details

NPI number 1144579418
LBN Legal business name Sullivan, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2012
Last updated Sep 2nd, 2012 - about 14 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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