Tabor, Lisa Katherine

Tabor, Lisa Katherine is an individual health care provider with primary practice located at 6545 S Fort Apache Rd Ste 135-228 , Las Vegas NV 89148-6752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Tabor, Lisa Katherine can be contacted via phone (337) 804-2049.

Contact Information

Primary practice address
6545 S Fort Apache Rd Ste 135-228 Las Vegas NV 89148-6752
Phone: (337) 804-2049
Fax: (877) 866-3181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN002065 Nevada

Profile Details

NPI number 1285631044
LBN Legal business name Tabor, Lisa Katherine
Credentials APRN, ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jun 30th, 2020 - about 6 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 1285631044 NPPES
Louisiana MEDICAID 1477427

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