Guzman, Lisa J

Guzman, Lisa J is an individual health care provider with primary practice located at 1520 Provident Dr , Warsaw IN 46580-3291. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Guzman, Lisa J can be contacted via phone (574) 372-3800.

Contact Information

Primary practice address
1520 Provident Dr Warsaw IN 46580-3291
Phone: (574) 372-3800
Fax: (574) 372-3810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 70000128A Indiana

Profile Details

NPI number 1790886257
LBN Legal business name Guzman, Lisa J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 15th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790886257 NPPES
Indiana Other 199790 MCARE PART A PROV #
Indiana Other 626820 MCARE PART A PROV #
Indiana Other 437901 MCARE PART A PROV #

Popular Providers