Creighton, Lisa D
Creighton, Lisa D is an sole proprietor health care provider with primary practice located at 605 Wood Creek Dr , Lynden WA 98264-1107. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Creighton, Lisa D can be contacted via phone (369) 510-4432.Contact Information
Primary practice address
605 Wood Creek Dr
Lynden WA 98264-1107
Phone: (369) 510-4432
Fax: (360) 318-0822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | DO00001440 | Washington |
Profile Details
| NPI number | 1902975915 |
|---|---|
| LBN Legal business name | Creighton, Lisa D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1902975915 | NPPES |
| Washington | MEDICAID | 2031342 |
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