Byrd, Lisa

Byrd, Lisa is an individual health care provider with primary practice located at 5896 S Ridgeline Dr Suite B, Ogden UT 84405-6779. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Byrd, Lisa can be contacted via phone (801) 866-0170.

Contact Information

Primary practice address
5896 S Ridgeline Dr Suite B Ogden UT 84405-6779
Phone: (801) 866-0170
Fax: (801) 866-0169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7973035-1206 Utah

Profile Details

NPI number 1962405522
LBN Legal business name Byrd, Lisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 27th, 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 1962405522 NPPES
Arizona Other 031828 MEDICARE
Arizona Other 61788 MEDICARE

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