Fields, Lisa Lavon

Fields, Lisa Lavon is an sole proprietor health care provider with primary practice located at 5434 W Walsh Ln , Rogers AR 72758-8946. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Fields, Lisa Lavon can be contacted via phone (479) 443-5575.

Contact Information

Primary practice address
5434 W Walsh Ln Rogers AR 72758-8946
Phone: (479) 443-5575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP126713 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A004072 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A004072 Arkansas

Profile Details

NPI number 1215333075
LBN Legal business name Fields, Lisa Lavon
Credentials APRN, PMHNP-BC, CPNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2014
Last updated Jan 10th, 2020 - about 5 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 1215333075 NPPES
Oklahoma MEDICAID 200697640
Oklahoma MEDICAID 1215333075
Oklahoma MEDICAID 210116758

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