Angotti, Lisa M

Angotti, Lisa M is an sole proprietor health care provider with primary practice located at 1707 W Charleston Blvd Ste 160 , Las Vegas NV 89102-2354. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Angotti, Lisa M can be contacted via phone (702) 671-5150.

Contact Information

Primary practice address
1707 W Charleston Blvd Ste 160 Las Vegas NV 89102-2354
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 278253 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 20089 Nevada

Profile Details

NPI number 1316380389
LBN Legal business name Angotti, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2013
Last updated Feb 24th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316380389 NPPES
Nevada Other 20089 MEDICAL LICENSE

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