Warner, Lisa
Warner, Lisa is an individual health care provider with primary practice located at 1451 44Th Ave S , Grand Forks ND 58201-3434. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Warner, Lisa can be contacted via phone (701) 775-2500.Contact Information
Primary practice address
1451 44Th Ave S
Grand Forks ND 58201-3434
Phone: (701) 775-2500
Fax: (701) 787-8996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2431 | North Dakota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 14643 | Minnesota |
Profile Details
| NPI number | 1306802228 |
|---|---|
| LBN Legal business name | Warner, Lisa |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306802228 | NPPES |
| Minnesota | Other | 39Q71WA | MN BC/BS |
| Minnesota | Other | 15470 | MN BC/BS |
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