Campisano, Lisa C
Campisano, Lisa C is an individual health care provider with primary practice located at 7926 Preston Hwy Suite 106, Louisville KY 40219-3848. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Campisano, Lisa C can be contacted via phone (502) 964-4357.Contact Information
Primary practice address
7926 Preston Hwy Suite 106
Louisville KY 40219-3848
Phone: (502) 964-4357
Fax: (502) 966-5948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27273 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01045735A | Indiana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 27273 | Kentucky |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01045735A | Indiana |
Profile Details
| NPI number | 1245295179 |
|---|---|
| LBN Legal business name | Campisano, Lisa C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Oct 26th, 2018 - about 7 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 | 1245295179 | NPPES |
| Indiana | MEDICAID | 200489100 | |
| Indiana | Other | P00305257 | |
| Indiana | Other | P00838074 | |
| Indiana | Other | 00000038150 | |
| Indiana | Other | 129355P |
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