Gomez, Lisa

Gomez, Lisa is an individual health care provider with primary practice located at 4296 Moccasin Trl , Woodstock GA 30189-4867. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Gomez, Lisa can be contacted via phone (042) 934-4286.

Contact Information

Primary practice address
4296 Moccasin Trl Woodstock GA 30189-4867
Phone: (042) 934-4286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN097624 Georgia

Profile Details

NPI number 1205229671
LBN Legal business name Gomez, Lisa
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2015
Last updated Aug 7th, 2019 - about 6 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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