Travis, Lisa

Travis, Lisa is an sole proprietor health care provider with primary practice located at 28 Dental Rd , Edgewater MD 21037-2685. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Travis, Lisa can be contacted via phone (434) 426-6528.

Contact Information

Primary practice address
28 Dental Rd Edgewater MD 21037-2685
Phone: (434) 426-6528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21300 Maryland

Profile Details

NPI number 1013456714
LBN Legal business name Travis, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2017
Last updated Feb 17th, 2017 - about 9 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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