Utsey, Lisa Ann

Utsey, Lisa Ann is an individual health care provider with primary practice located at 900 Ingraham Ave , Haines City FL 33844-4336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Utsey, Lisa Ann can be contacted via phone (863) 421-6565.

Contact Information

Primary practice address
900 Ingraham Ave Haines City FL 33844-4336
Phone: (863) 421-6565
Fax: (863) 421-7474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME72026 Florida

Profile Details

NPI number 1932282803
LBN Legal business name Utsey, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 12th, 2015 - about 10 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 1932282803 NPPES
Florida Other 5831637 AETNA
Florida Other 172406 AETNA
Florida Other 49399 AETNA
Florida MEDICAID 256001101 AETNA

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