Ercolini-Bhatia, Lisa M

Ercolini-Bhatia, Lisa M is an individual health care provider with primary practice located at 136 N Third St , Lompoc CA 93436-7002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ercolini-Bhatia, Lisa M can be contacted via phone (805) 736-1253.

Contact Information

Primary practice address
136 N Third St Lompoc CA 93436-7002
Phone: (805) 736-1253
Fax: (806) 736-3193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C54110 California

Profile Details

NPI number 1982670626
LBN Legal business name Ercolini-Bhatia, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Dec 2nd, 2021 - about 4 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 1982670626 NPPES
California MEDICAID ZZZ37313Z

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