Conners, Lisa Marjorie

Conners, Lisa Marjorie is an sole proprietor health care provider with primary practice located at 620 Shadow Lane , Las Vegas NV 89106-4194. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Conners, Lisa Marjorie can be contacted via phone (702) 388-8436.

Contact Information

Primary practice address
620 Shadow Lane Las Vegas NV 89106-4194
Fax: (702) 388-8431
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X SL1072 Nevada

Profile Details

NPI number 1164809729
LBN Legal business name Conners, Lisa Marjorie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2015
Last updated Aug 9th, 2021 - about 4 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 1164809729 NPPES
Nevada MEDICAID 1164809729

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