Dominach, Lisa Mary

Dominach, Lisa Mary is an individual health care provider with primary practice located at 2335 Aaron St , Port Charlotte FL 33952-5305. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Dominach, Lisa Mary can be contacted via phone (855) 979-5700.

Contact Information

Primary practice address
2335 Aaron St Port Charlotte FL 33952-5305
Phone: (855) 979-5700
Fax: (855) 979-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00408700 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9360998 Florida

Profile Details

NPI number 1811232515
LBN Legal business name Dominach, Lisa Mary
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2012
Last updated Mar 18th, 2016 - about 9 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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