Davis, Lisa Susan

Davis, Lisa Susan is an individual health care provider with primary practice located at 35 Miles St , Damariscotta ME 04543-4047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Davis, Lisa Susan can be contacted via phone (207) 563-1234.

Contact Information

Primary practice address
35 Miles St Damariscotta ME 04543-4047
Phone: (207) 563-1234
Fax: (603) 228-2113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA173018 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 06244323 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN529981L Pennsylvania

Profile Details

NPI number 1346560588
LBN Legal business name Davis, Lisa Susan
Credentials CRNA, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2010
Last updated Jan 15th, 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 1346560588 NPPES
New Hampshire MEDICAID 3096163

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