Harrell, Lisa M

Harrell, Lisa M is an sole proprietor health care provider with primary practice located at 2473 Bluff Ct , Mandeville LA 70448-8478. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Harrell, Lisa M can be contacted via phone (985) 590-1865.

Contact Information

Primary practice address
2473 Bluff Ct Mandeville LA 70448-8478
Phone: (985) 590-1865
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTT.200550 Louisiana

Profile Details

NPI number 1083963011
LBN Legal business name Harrell, Lisa M
Credentials M.O.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2012
Last updated Sep 5th, 2012 - about 13 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 1083963011 NPPES
Louisiana Other OTT.200550 LSBME OT LICENSE NUMBER

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