Custer, Lisa
Custer, Lisa is an sole proprietor health care provider with primary practice located at 306 Dixie Dr , Towson MD 21204-7001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Custer, Lisa can be contacted via phone (219) 309-4121.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT004080 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | A0001128 | Maryland |
Profile Details
| NPI number | 1518305879 |
|---|---|
| LBN Legal business name | Custer, Lisa |
| Credentials | PHD, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2013 |
| Last updated | Sep 9th, 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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