Broughton, Lisa
Broughton, Lisa is an individual health care provider with primary practice located at 4478 Pitch Pine Ct , Concord CA 94521-4406. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Broughton, Lisa can be contacted via phone (925) 323-2627.Contact Information
Primary practice address
4478 Pitch Pine Ct
Concord CA 94521-4406
Phone: (925) 323-2627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X |
Profile Details
| NPI number | 1245772441 |
|---|---|
| LBN Legal business name | Broughton, Lisa |
| Credentials | IBCLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2016 |
| Last updated | Nov 6th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245772441 | NPPES |
| California | Other | L-16437 | IBCLC |
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