Brunton Cooley, Lisa Anne

Brunton Cooley, Lisa Anne is an individual health care provider with primary practice located at 17929 Hunting Bow Circle , Lutz FL 33558. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brunton Cooley, Lisa Anne can be contacted via phone (813) 792-8555.

Contact Information

Primary practice address
17929 Hunting Bow Circle Lutz FL 33558
Phone: (813) 792-8555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2776972 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2776972 Florida

Profile Details

NPI number 1154359883
LBN Legal business name Brunton Cooley, Lisa Anne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 31st, 2024 - about 6 months 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 1154359883 NPPES
Florida MEDICAID 302641800

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