Doyle, Lisa G

Doyle, Lisa G is an individual health care provider with primary practice located at 3015 N Ballas Rd Dept Anesthesiology, Saint Louis MO 63131-2329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Doyle, Lisa G can be contacted via phone (800) 862-9980.

Contact Information

Primary practice address
3015 N Ballas Rd Dept Anesthesiology Saint Louis MO 63131-2329
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 089756 Missouri

Profile Details

NPI number 1609894336
LBN Legal business name Doyle, Lisa G
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 25th, 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 1609894336 NPPES
Missouri MEDICAID 429291305

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