Comerford, Lisa
Comerford, Lisa is an individual health care provider with primary practice located at 285 W 12Th St Ste. 205, Peru IN 46970-1653. 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. Comerford, Lisa can be contacted via phone (765) 473-6400.Contact Information
Primary practice address
285 W 12Th St Ste. 205
Peru IN 46970-1653
Phone: (765) 473-6400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001007A | Indiana |
Profile Details
NPI number | 1841257102 |
---|---|
LBN Legal business name | Comerford, Lisa |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 28th, 2006 |
Last updated | Mar 29th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841257102 | NPPES |
Indiana | MEDICAID | 100351380 |
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