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
Phone: (859) 301-2663
Fax: (859) 301-0655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN-232372 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1067394 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3003813 | Kentucky |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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