Cometto, Lisa

Cometto, Lisa is an individual health care provider with primary practice located at 220 Faison Dr , Columbia SC 29203-3210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cometto, Lisa can be contacted via phone (803) 898-8405.

Contact Information

Primary practice address
220 Faison Dr Columbia SC 29203-3210
Phone: (803) 898-8405
Fax: (803) 898-8526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 67968 South Carolina

Profile Details

NPI number 1649222779
LBN Legal business name Cometto, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 26th, 2009 - about 16 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 1649222779 NPPES
South Carolina MEDICAID NP0808

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