Halvorson, Lisa Marie
Halvorson, Lisa Marie is an individual health care provider with primary practice located at 703 New Mark Esplanade , Rockville MD 20850-2739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Halvorson, Lisa Marie can be contacted via phone (214) 288-1960.Contact Information
Primary practice address
703 New Mark Esplanade
Rockville MD 20850-2739
Phone: (214) 288-1960
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | D0078686 | Maryland |
Profile Details
NPI number | 1568412088 |
---|---|
LBN Legal business name | Halvorson, Lisa Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Dec 19th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568412088 | NPPES |
Texas | MEDICAID | 155350501 |
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