Laverty, Lissande Mercedes

Laverty, Lissande Mercedes is an individual health care provider with primary practice located at 2375 S Melrose Dr , Vista CA 92081-8788. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Laverty, Lissande Mercedes can be contacted via phone (760) 822-9192.

Contact Information

Primary practice address
2375 S Melrose Dr Vista CA 92081-8788
Phone: (760) 822-9192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1285142125
LBN Legal business name Laverty, Lissande Mercedes
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2018
Last updated Jan 9th, 2023 - about last year

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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