Loosle, Lisa
Loosle, Lisa is an sole proprietor health care provider with primary practice located at 529 Nw Prima Vista Blvd Ste 301L , Port St Lucie FL 34983-8790. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Loosle, Lisa can be contacted via phone (772) 404-2122.Contact Information
Primary practice address
529 Nw Prima Vista Blvd Ste 301L
Port St Lucie FL 34983-8790
Phone: (772) 404-2122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1768 | Florida |
Profile Details
| NPI number | 1013604446 |
|---|---|
| LBN Legal business name | Loosle, Lisa |
| Credentials | ED.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2023 |
| Last updated | Apr 18th, 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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