Keen, Lisa A

Keen, Lisa A is an individual health care provider with primary practice located at 1776 S Queen St , York PA 17403-4628. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Keen, Lisa A can be contacted via phone (717) 845-6321.

Contact Information

Primary practice address
1776 S Queen St York PA 17403-4628
Phone: (717) 845-6321
Fax: (717) 845-6320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AT-000719-L Pennsylvania

Profile Details

NPI number 1477501807
LBN Legal business name Keen, Lisa A
Credentials AU.D., FAAA
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1477501807 NPPES
Pennsylvania Other AT-000719-L PA STATE LICENSE
Pennsylvania MEDICAID 001649813 0002 PA STATE LICENSE

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