Becker, Lisa Forman

Becker, Lisa Forman is an individual health care provider with primary practice located at 919 Ne 13Th St , Fort Lauderdale FL 33304-2009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Becker, Lisa Forman can be contacted via phone (954) 763-2030.

Contact Information

Primary practice address
919 Ne 13Th St Fort Lauderdale FL 33304-2009
Phone: (954) 763-2030
Fax: (954) 763-9847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X APRN9191528 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9191528 Florida

Profile Details

NPI number 1548598782
LBN Legal business name Becker, Lisa Forman
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2009
Last updated Jan 22nd, 2019 - about 5 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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