Korzenewski, Lisa B
Korzenewski, Lisa B is an individual health care provider with primary practice located at 16342 N Il Hwy 37 , Mt Vernon IL 62864-0054. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Korzenewski, Lisa B can be contacted via phone (618) 242-1510.Contact Information
Primary practice address
16342 N Il Hwy 37
Mt Vernon IL 62864-0054
Phone: (618) 242-1510
Fax: (618) 242-0958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 041.277054 | Illinois |
Profile Details
| NPI number | 1457610719 |
|---|---|
| LBN Legal business name | Korzenewski, Lisa B |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2012 |
| Last updated | May 8th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457610719 | NPPES |
| Illinois | MEDICAID | 237254917005 |
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