Churchill, Lisa D.

Churchill, Lisa D. is an individual health care provider with primary practice located at 9500 Dorchester Rd Ste 362 , Summerville SC 29485-4304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Churchill, Lisa D. can be contacted via phone (843) 212-8080.

Contact Information

Primary practice address
9500 Dorchester Rd Ste 362 Summerville SC 29485-4304
Phone: (843) 212-8080
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19849 South Carolina

Profile Details

NPI number 1295196947
LBN Legal business name Churchill, Lisa D.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2016
Last updated May 7th, 2024 - 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 1295196947 NPPES
South Carolina MEDICAID NP3767

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