Douglas, Lisa Renae
Douglas, Lisa Renae is an sole proprietor health care provider with primary practice located at 12 W Sunbridge Dr , Fayetteville AR 72703-1822. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Douglas, Lisa Renae can be contacted via phone (479) 750-2020.Contact Information
Primary practice address
12 W Sunbridge Dr
Fayetteville AR 72703-1822
Phone: (479) 750-2020
Fax: (479) 872-2441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Genetic Counselor, MS | 170300000X |
Profile Details
| NPI number | 1639281959 |
|---|---|
| LBN Legal business name | Douglas, Lisa Renae |
| Credentials | MHPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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