Gamble, Lisa Denita

Gamble, Lisa Denita is an sole proprietor health care provider with primary practice located at 270 Heritage Walk , Woodstock GA 30188-3875. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gamble, Lisa Denita can be contacted via phone (678) 494-5700.

Contact Information

Primary practice address
270 Heritage Walk Woodstock GA 30188-3875
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN063961 Georgia

Profile Details

NPI number 1275252637
LBN Legal business name Gamble, Lisa Denita
Credentials NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2022
Last updated Aug 26th, 2022 - about 2 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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