Black, Lisa Ann

Black, Lisa Ann is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr , San Antonio TX 78234-4504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Black, Lisa Ann can be contacted via phone (210) 916-1952.

Contact Information

Primary practice address
3551 Roger Brooke Dr San Antonio TX 78234-4504
Phone: (210) 916-1952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X DO-667 Alabama
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X Q5622 Texas

Profile Details

NPI number 1770555252
LBN Legal business name Black, Lisa Ann
Credentials D.O., MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated May 14th, 2020 - about 4 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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