Everitt, Lisa A

Everitt, Lisa A is an individual health care provider with primary practice located at 5900 Lake Wright Dr , Norfolk VA 23502-1871. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Everitt, Lisa A can be contacted via phone (757) 466-8683.

Contact Information

Primary practice address
5900 Lake Wright Dr Norfolk VA 23502-1871
Phone: (757) 466-8683
Fax: (757) 466-0250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001877 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001877 Virginia

Profile Details

NPI number 1013916568
LBN Legal business name Everitt, Lisa A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Sep 4th, 2008 - about 16 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 1013916568 NPPES
Virginia Other 10019822P OPTIMA
Virginia MEDICAID 1013916568 OPTIMA

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