Dewinter, Lisa L

Dewinter, Lisa L is an individual health care provider with primary practice located at 1500 S Mill Ave , Tempe AZ 85281. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Dewinter, Lisa L can be contacted via phone (517) 304-0652.

Contact Information

Primary practice address
1500 S Mill Ave Tempe AZ 85281
Phone: (517) 304-0652
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 060204 Michigan

Profile Details

NPI number 1407803117
LBN Legal business name Dewinter, Lisa L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Mar 16th, 2017 - about 7 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 1407803117 NPPES
Michigan MEDICAID 3433240
Michigan Other LW060204

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