Tack, Lisa
Tack, Lisa is an individual health care provider with primary practice located at 5210 Linton Blvd Ste 207 , Delray Beach FL 33484-6537. 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. Tack, Lisa can be contacted via phone (561) 559-1516.Contact Information
Primary practice address
5210 Linton Blvd Ste 207
Delray Beach FL 33484-6537
Phone: (561) 559-1516
Fax: (561) 270-3928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9109250 | Florida |
Profile Details
| NPI number | 1568835189 |
|---|---|
| LBN Legal business name | Tack, Lisa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2015 |
| Last updated | Jun 20th, 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.
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