Kirkland, Lisa

Kirkland, Lisa is an individual health care provider with primary practice located at 350 Hospital Dr , Macon GA 31217-3838. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Kirkland, Lisa can be contacted via phone (770) 994-9326.

Contact Information

Primary practice address
350 Hospital Dr Macon GA 31217-3838
Phone: (770) 994-9326
Fax: (770) 994-4747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 46314 Georgia

Profile Details

NPI number 1093818312
LBN Legal business name Kirkland, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Feb 12th, 2008 - about 16 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 1093818312 NPPES
Maryland MEDICAID 413046400
Maryland MEDICAID 413496600

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