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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers