Brown, Lisa A.

Brown, Lisa A. is an individual health care provider with primary practice located at 249 N Grove Medical Park Dr , Spartanburg SC 29303-4222. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Brown, Lisa A. can be contacted via phone (864) 598-0429.

Contact Information

Primary practice address
249 N Grove Medical Park Dr Spartanburg SC 29303-4222
Phone: (864) 598-0429
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1277 South Carolina

Profile Details

NPI number 1477608503
LBN Legal business name Brown, Lisa A.
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Oct 19th, 2015 - about 9 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 1477608503 NPPES
South Carolina MEDICAID TH0771

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