Farrar, Lisa Ann

Farrar, Lisa Ann is an individual health care provider with primary practice located at 233 Osceola Ave , Ormond Beach FL 32176-6638. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Farrar, Lisa Ann can be contacted via phone (386) 672-6424.

Contact Information

Primary practice address
233 Osceola Ave Ormond Beach FL 32176-6638
Phone: (386) 672-6424
Fax: (386) 672-5251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO-2653 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO-2653 Florida

Profile Details

NPI number 1992798318
LBN Legal business name Farrar, Lisa Ann
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Aug 23rd, 2013 - about 12 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 1992798318 NPPES
Florida MEDICAID 390372900

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