Beard, Lisa Lynn
Beard, Lisa Lynn is an sole proprietor health care provider with primary practice located at 4741 Moorpark Way , Sacramento CA 95842-3146. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Beard, Lisa Lynn can be contacted via phone (916) 332-3459.Contact Information
Primary practice address
4741 Moorpark Way
Sacramento CA 95842-3146
Phone: (916) 332-3459
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 603531 | California |
Profile Details
| NPI number | 1780889675 |
|---|---|
| LBN Legal business name | Beard, Lisa Lynn |
| Credentials | REGISTERED NURSE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2007 |
| 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 | 1780889675 | NPPES |
| California | MEDICAID | EPS015840 | |
| California | MEDICAID | RVN004060 |
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