Cervantes, Lisa L

Cervantes, Lisa L is an individual health care provider with primary practice located at 1004 Garfield St , Madison WI 53711-2156. 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. Cervantes, Lisa L can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
1004 Garfield St Madison WI 53711-2156
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 990 Wisconsin

Profile Details

NPI number 1609843192
LBN Legal business name Cervantes, Lisa L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 2nd, 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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