Coker, Lisa Deniece

Coker, Lisa Deniece is an sole proprietor health care provider with primary practice located at 1500 Dodson Ave Suite 280, Fort Smith AR 72901-5182. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Coker, Lisa Deniece can be contacted via phone (479) 709-7480.

Contact Information

Primary practice address
1500 Dodson Ave Suite 280 Fort Smith AR 72901-5182
Phone: (479) 709-7480
Fax: (479) 709-7479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A004879 Arkansas

Profile Details

NPI number 1265986913
LBN Legal business name Coker, Lisa Deniece
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2016
Last updated Apr 19th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265986913 NPPES
Oklahoma MEDICAID 200676450A
Oklahoma MEDICAID 217066758

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