Hayes, Lisa C

Hayes, Lisa C is an individual health care provider with primary practice located at 11260 Sullivan Street , Riverview FL 33578. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hayes, Lisa C can be contacted via phone (813) 689-7571.

Contact Information

Primary practice address
11260 Sullivan Street Riverview FL 33578
Phone: (813) 689-7571
Fax: (813) 654-8129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS12662 Florida

Profile Details

NPI number 1891084018
LBN Legal business name Hayes, Lisa C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Sep 8th, 2021 - about 4 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 1891084018 NPPES
Florida MEDICAID 011818200

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