Bou, Lisa

Bou, Lisa is an individual health care provider with primary practice located at 45 Reade Pl , Poughkeepsie NY 12601-3947. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bou, Lisa can be contacted via phone (845) 431-5629.

Contact Information

Primary practice address
45 Reade Pl Poughkeepsie NY 12601-3947
Phone: (845) 431-5629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 453910 New York

Profile Details

NPI number 1437156007
LBN Legal business name Bou, Lisa
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Oct 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437156007 NPPES
New York Other CB1521 RAILROAD MEDICARE GROUP
New York Other CE9959 RAILROAD MEDICARE GROUP
New York Other P00119064 RAILROAD MEDICARE GROUP
New York Other P00290883 RAILROAD MEDICARE GROUP

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