King, Lisa

King, Lisa is an individual health care provider with primary practice located at 304 W Washington Ave , Richland MO 65556-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Lisa can be contacted via phone (573) 765-5141.

Contact Information

Primary practice address
304 W Washington Ave Richland MO 65556-7101
Phone: (573) 765-5141
Fax: (573) 765-3824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 076386 Missouri

Profile Details

NPI number 1043288806
LBN Legal business name King, Lisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 3rd, 2011 - about 14 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 1043288806 NPPES
Missouri MEDICAID 423228030

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