Goode, Lisa M

Goode, Lisa M is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Goode, Lisa M can be contacted via phone (270) 798-2245.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X CNS224001 Maine

Profile Details

NPI number 1073385522
LBN Legal business name Goode, Lisa M
Credentials AGCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2023
Last updated Oct 27th, 2023 - about last year

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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