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
Fax: (561) 270-3928
Website:

Health care specialties

SpecialtyCodeLicense #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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