Bakhos, Lisa Lovas

Bakhos, Lisa Lovas is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bakhos, Lisa Lovas can be contacted via phone (401) 519-1604.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L-221687 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD12383 Rhode Island

Profile Details

NPI number 1902932767
LBN Legal business name Bakhos, Lisa Lovas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Feb 5th, 2010 - 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 1902932767 NPPES
Rhode Island Other 07282008 BCBSRI
Rhode Island Other 12/29/2008 BCBSRI
Rhode Island Other 12292008 BCBSRI
Rhode Island MEDICAID LB69118 BCBSRI
Rhode Island Other 04/15/2009 BCBSRI
Rhode Island Other 007059893 BCBSRI
Rhode Island Other 1962455022 BCBSRI
Rhode Island Other 1902932767 BCBSRI
Rhode Island Other 2146533 BCBSRI
Rhode Island Other 939025129 BCBSRI

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