Vinokur, Lisa A

Vinokur, Lisa A is an sole proprietor health care provider with primary practice located at 3400 Old Milton Pkwy Suite C585, Alpharetta GA 30005-4434. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Vinokur, Lisa A can be contacted via phone (770) 754-4445.

Contact Information

Primary practice address
3400 Old Milton Pkwy Suite C585 Alpharetta GA 30005-4434
Phone: (770) 754-4445
Fax: (770) 754-4449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 038394 Georgia

Profile Details

NPI number 1023015963
LBN Legal business name Vinokur, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Nov 23rd, 2011 - about 15 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 1023015963 NPPES
Georgia MEDICAID 002095813B
Georgia Other 52473770

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