Downton, Lisa Rae

Downton, Lisa Rae is an individual health care provider with primary practice located at 20 Medical Village Dr , Edgewood KY 41017-5401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Downton, Lisa Rae can be contacted via phone (859) 331-4665.

Contact Information

Primary practice address
20 Medical Village Dr Edgewood KY 41017-5401
Phone: (859) 331-4665
Fax: (859) 331-6370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 3008221 Kentucky

Profile Details

NPI number 1144560996
LBN Legal business name Downton, Lisa Rae
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2013
Last updated Jan 10th, 2024 - about last year

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 1144560996 NPPES
Ohio MEDICAID 0087193
Ohio MEDICAID 7100261840

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