Walters, Lisa Joy

Walters, Lisa Joy is an sole proprietor health care provider with primary practice located at 6 Ashford Dr , Lake Grove NY 11755-2808. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Walters, Lisa Joy can be contacted via phone (631) 588-5176.

Contact Information

Primary practice address
6 Ashford Dr Lake Grove NY 11755-2808
Phone: (631) 588-5176
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1164773941
LBN Legal business name Walters, Lisa Joy
Credentials MSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2012
Last updated Jul 21st, 2022 - about 4 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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