Credo, Lisa

Credo, Lisa is an individual health care provider with primary practice located at 800 Marshall St # 653 , Little Rock AR 72202-3510. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Credo, Lisa can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
800 Marshall St # 653 Little Rock AR 72202-3510
Phone: (501) 364-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 321372 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 321372 Louisiana

Profile Details

NPI number 1093949117
LBN Legal business name Credo, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated Aug 26th, 2020 - about 5 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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