Liss, Lahna G

Liss, Lahna G is an individual health care provider with primary practice located at 601 N Flamingo Rd Suite 409, Pembroke Pines FL 33028-1015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Liss, Lahna G can be contacted via phone (954) 844-4480.

Contact Information

Primary practice address
601 N Flamingo Rd Suite 409 Pembroke Pines FL 33028-1015
Fax: (954) 447-5344
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3542 Florida

Profile Details

NPI number 1669452405
LBN Legal business name Liss, Lahna G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Sep 29th, 2014 - about 10 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 1669452405 NPPES
Florida MEDICAID 290682100

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