Bird, Lisa Diane
Bird, Lisa Diane is an sole proprietor health care provider with primary practice located at 271A S Culver St , Lawrenceville GA 30045-4805. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Bird, Lisa Diane can be contacted via phone (770) 366-9438.Contact Information
Primary practice address
271A S Culver St
Lawrenceville GA 30045-4805
Phone: (770) 366-9438
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Contractor | 171W00000X | MT001319 | Georgia |
Profile Details
NPI number | 1891939617 |
---|---|
LBN Legal business name | Bird, Lisa Diane |
Credentials | LMT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 23rd, 2009 |
Last updated | Apr 23rd, 2009 - 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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