Cleary, Lisa S.

Cleary, Lisa S. is an sole proprietor health care provider with primary practice located at 1480 18Th St , Corbin KY 40701-2721. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cleary, Lisa S. can be contacted via phone (606) 528-0870.

Contact Information

Primary practice address
1480 18Th St Corbin KY 40701-2721
Phone: (606) 528-0870
Fax: (606) 528-3449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 852 Kentucky

Profile Details

NPI number 1386648335
LBN Legal business name Cleary, Lisa S.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Nov 18th, 2011 - about 13 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 1386648335 NPPES
Kentucky Other 000000048717 ANTHEM
Kentucky Other 650008996 ANTHEM

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