Glass, Lisa G

Glass, Lisa G is an individual health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Cardiology, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Technologists, Technicians & Other Technical Service Providers / Technician, Cardiology is her primary health care specialty. Glass, Lisa G can be contacted via phone (918) 458-3100.

Contact Information

Primary practice address
100 S Bliss Ave Tahlequah OK 74464-2512
Phone: (918) 458-3100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Cardiology 246W00000X
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1700971405
LBN Legal business name Glass, Lisa G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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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