Dynan-Dobbertien, Lisa Ann

Dynan-Dobbertien, Lisa Ann is an individual health care provider with primary practice located at 3229 Bear Run Blvd Clay County Health Dept -Bldg A, Orange Park FL 32065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dynan-Dobbertien, Lisa Ann can be contacted via phone (904) 213-3202.

Contact Information

Primary practice address
3229 Bear Run Blvd Clay County Health Dept -Bldg A Orange Park FL 32065
Phone: (904) 213-3202
Fax: (904) 272-4353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS6382 Florida

Profile Details

NPI number 1255306627
LBN Legal business name Dynan-Dobbertien, Lisa Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 4th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255306627 NPPES
Florida MEDICAID 377329900

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