Gengo, Lisa J

Gengo, Lisa J is an sole proprietor health care provider with primary practice located at 8 Knight St Suite 205, Norwalk CT 06851-4720. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Other Service Providers / Naturopath. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gengo, Lisa J can be contacted via phone (914) 419-7585.

Contact Information

Primary practice address
8 Knight St Suite 205 Norwalk CT 06851-4720
Phone: (914) 419-7585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004185 New York
Other Service Providers / Naturopath 175F00000X 00310 Connecticut

Profile Details

NPI number 1023289881
LBN Legal business name Gengo, Lisa J
Credentials ND, PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2008
Last updated Aug 7th, 2013 - about 11 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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