Kearns, Lisa Lavonne

Kearns, Lisa Lavonne is an individual health care provider with primary practice located at 500 Burlington Rd Ste 240 , Jackson OH 45640-9360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kearns, Lisa Lavonne can be contacted via phone (740) 286-5075.

Contact Information

Primary practice address
500 Burlington Rd Ste 240 Jackson OH 45640-9360
Phone: (740) 286-5075
Fax: (740) 395-8411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 55208 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X COA.07488-NS Ohio

Profile Details

NPI number 1720054844
LBN Legal business name Kearns, Lisa Lavonne
Credentials MSN APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Nov 6th, 2019 - about 6 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 1720054844 NPPES
West Virginia MEDICAID 0005355002
West Virginia MEDICAID 0200820
West Virginia MEDICAID 2476913

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