Carlisle, Lee K

Carlisle, Lee K is an individual health care provider with primary practice located at 1610 S Chadbourne St , San Angelo TX 76903-8510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carlisle, Lee K can be contacted via phone (325) 658-5339.

Contact Information

Primary practice address
1610 S Chadbourne St San Angelo TX 76903-8510
Phone: (325) 658-5339
Fax: (325) 659-8524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 553982 Texas

Profile Details

NPI number 1164423943
LBN Legal business name Carlisle, Lee K
Credentials APRN, BC, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Aug 26th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164423943 NPPES
Texas MEDICAID 111604802

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