Holmes, Lisa B

Holmes, Lisa B is an individual health care provider with primary practice located at 583 S Clarizz Blvd , Bloomington IN 47401-5515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holmes, Lisa B can be contacted via phone (812) 333-9331.

Contact Information

Primary practice address
583 S Clarizz Blvd Bloomington IN 47401-5515
Phone: (812) 333-9331
Fax: (812) 349-9201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001972A Indiana

Profile Details

NPI number 1235158148
LBN Legal business name Holmes, Lisa B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 15th, 2020 - 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 1235158148 NPPES
Indiana MEDICAID 200368440

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