Budka, Lisa Marie

Budka, Lisa Marie is an individual health care provider with primary practice located at 1001 Sturdy Rd , Valparaiso IN 46383-4126. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Budka, Lisa Marie can be contacted via phone (219) 462-7173.

Contact Information

Primary practice address
1001 Sturdy Rd Valparaiso IN 46383-4126
Phone: (219) 462-7173
Fax: (219) 462-7504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28171591A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71004318A Indiana

Profile Details

NPI number 1275879025
LBN Legal business name Budka, Lisa Marie
Credentials RN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2012
Last updated Jun 30th, 2023 - about last year

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 1275879025 NPPES
Indiana MEDICAID 201138960

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