Bukovac, Lisa A
Bukovac, Lisa A is an individual health care provider with primary practice located at 1840 Amherst St , Winchester VA 22601-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Bukovac, Lisa A can be contacted via phone (540) 536-8000.Contact Information
Primary practice address
1840 Amherst St
Winchester VA 22601-2808
Phone: (540) 536-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 0102201718 | Virginia |
Profile Details
| NPI number | 1770570756 |
|---|---|
| LBN Legal business name | Bukovac, Lisa A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jan 15th, 2021 - about 3 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 | 1770570756 | NPPES |
| Virginia | MEDICAID | 010142041 | |
| Virginia | MEDICAID | 010165521 |
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