Tomlin, Lisa H

Tomlin, Lisa H is an individual health care provider with primary practice located at 5107 Medical Dr , San Antonio TX 78229-4801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tomlin, Lisa H can be contacted via phone (210) 614-8612.

Contact Information

Primary practice address
5107 Medical Dr San Antonio TX 78229-4801
Phone: (210) 614-8612
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 45590 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 759632 Texas

Profile Details

NPI number 1073519260
LBN Legal business name Tomlin, Lisa H
Credentials MSN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 14th, 2012 - about 13 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 1073519260 NPPES
Kansas MEDICAID 200260550A

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