Dickerson, Lisa

Dickerson, Lisa is an individual health care provider with primary practice located at Children'S Developmental Services Agency - Dept Of Ped Irons Building - Oglesby Dr., Greenville NC 27858. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dickerson, Lisa can be contacted via phone (252) 737-1177.

Contact Information

Primary practice address
Children'S Developmental Services Agency - Dept Of Ped Irons Building - Oglesby Dr. Greenville NC 27858
Phone: (252) 737-1177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 766 North Carolina

Profile Details

NPI number 1386723633
LBN Legal business name Dickerson, Lisa
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386723633 NPPES
New York Other 2845W BCBS NC

Popular Providers