Lisse, Gregory Ian

Lisse, Gregory Ian is an sole proprietor health care provider with primary practice located at 4315 Diplomacy Dr , Anchorage AK 99508-5926. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lisse, Gregory Ian can be contacted via phone (907) 563-2662.

Contact Information

Primary practice address
4315 Diplomacy Dr Anchorage AK 99508-5926
Phone: (907) 563-2662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 147767 Alaska

Profile Details

NPI number 1821431230
LBN Legal business name Lisse, Gregory Ian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2013
Last updated Sep 11th, 2019 - about 6 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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