King, Lisa A

King, Lisa A is an sole proprietor health care provider with primary practice located at 950 Scotland Dr , Desoto TX 75115-2057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. King, Lisa A can be contacted via phone (972) 709-9777.

Contact Information

Primary practice address
950 Scotland Dr Desoto TX 75115-2057
Fax: (972) 709-8300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X J8015 Texas

Profile Details

NPI number 1922056043
LBN Legal business name King, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Jan 6th, 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 1922056043 NPPES
Texas MEDICAID 11857301

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