Higginbotham, Lisa K
Higginbotham, Lisa K is an individual health care provider with primary practice located at 601 E Main St Level 3, Waynesboro PA 17268-2332. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Higginbotham, Lisa K can be contacted via phone (717) 765-5087.Contact Information
Primary practice address
601 E Main St Level 3
Waynesboro PA 17268-2332
Phone: (717) 765-5087
Fax: (717) 765-5070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD453969 | Pennsylvania |
Profile Details
| NPI number | 1356394076 |
|---|---|
| LBN Legal business name | Higginbotham, Lisa K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 15th, 2024 - about last year |
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 | 1356394076 | NPPES |
| Maryland | Other | 61131403 S108NE | CAREFIRST BLUE SHIELD |
| Maryland | MEDICAID | 904001300 | CAREFIRST BLUE SHIELD |
| Maryland | Other | F288 0008 | CAREFIRST BLUE SHIELD |
| Maryland | Other | P00026790 | CAREFIRST BLUE SHIELD |
| Maryland | MEDICAID | 103054240 | CAREFIRST BLUE SHIELD |
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