Connery, Lisa B.

Connery, Lisa B. is an individual health care provider with primary practice located at 1010 24Th Ave Nw Suite 110, Norman OK 73069-6494. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Connery, Lisa B. can be contacted via phone (405) 701-4079.

Contact Information

Primary practice address
1010 24Th Ave Nw Suite 110 Norman OK 73069-6494
Phone: (405) 701-4079
Fax: (405) 701-2838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16929 Oklahoma

Profile Details

NPI number 1205828977
LBN Legal business name Connery, Lisa B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 1st, 2009 - about 15 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 1205828977 NPPES
Oklahoma Other 080058651 RAILROAD MEDICARE
Oklahoma MEDICAID 100113800A RAILROAD MEDICARE
Oklahoma Other 4206638 RAILROAD MEDICARE

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