Foreman, Lisa M

Foreman, Lisa M is an individual health care provider with primary practice located at 9900 Medlock Bridge Rd , Duluth GA 30097-2017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Foreman, Lisa M can be contacted via phone (770) 497-0699.

Contact Information

Primary practice address
9900 Medlock Bridge Rd Duluth GA 30097-2017
Phone: (770) 497-0699
Fax: (770) 497-0388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN154091 Georgia

Profile Details

NPI number 1174510036
LBN Legal business name Foreman, Lisa M
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Sep 3rd, 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 1174510036 NPPES
Georgia Other RN154091 RN LICENSE
Georgia Other P00164422 RN LICENSE

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