Gergen, Lisa Rae

Gergen, Lisa Rae is an individual health care provider with primary practice located at 560 S Loop Rd , Edgewood KY 41017-3405. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gergen, Lisa Rae can be contacted via phone (859) 301-2663.

Contact Information

Primary practice address
560 S Loop Rd Edgewood KY 41017-3405
Fax: (859) 301-0655
Website:

Profile Details

NPI number 1497748263
LBN Legal business name Gergen, Lisa Rae
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Feb 3rd, 2016 - about 9 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 1497748263 NPPES
Other 2442191 UHC
MEDICAID 2535028 UHC
MEDICAID 78008083 UHC
Other 000000248062 UHC
Other P65717 UHC
Other 500027765 UHC

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