Gregory, Lisa Carol

Gregory, Lisa Carol is an individual health care provider with primary practice located at 1000 N 16Th St Suite # 240, New Castle IN 47362-4319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gregory, Lisa Carol can be contacted via phone (765) 521-1461.

Contact Information

Primary practice address
1000 N 16Th St Suite # 240 New Castle IN 47362-4319
Phone: (765) 521-1461
Fax: (765) 599-3101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003004A Indiana

Profile Details

NPI number 1881826196
LBN Legal business name Gregory, Lisa Carol
Credentials RN, ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2009
Last updated Nov 12th, 2014 - about 11 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 1881826196 NPPES
Indiana Other 000000796329 ANTHEM
Indiana MEDICAID 200954520 ANTHEM
Indiana Other P00762166 ANTHEM

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