Azar, Lisa M

Azar, Lisa M is an individual health care provider with primary practice located at 3111 Electric Ave , Port Huron MI 48060-8127. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Azar, Lisa M can be contacted via phone (810) 985-8900.

Contact Information

Primary practice address
3111 Electric Ave Port Huron MI 48060-8127
Phone: (810) 985-8900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1013349729
LBN Legal business name Azar, Lisa M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2013
Last updated Oct 24th, 2013 - about 11 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 1013349729 NPPES
Michigan MEDICAID 1013349729

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