Marglin, Lisa Marie

Marglin, Lisa Marie is an sole proprietor health care provider with primary practice located at 6301 Cumberland Pl , Stockton CA 95219-3661. She recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as her primary health care specialty. Marglin, Lisa Marie can be contacted via phone (209) 640-1204.

Contact Information

Primary practice address
6301 Cumberland Pl Stockton CA 95219-3661
Phone: (209) 640-1204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X PT 38247 California
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X PT38249 California

Profile Details

NPI number 1558733576
LBN Legal business name Marglin, Lisa Marie
Credentials LPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2015
Last updated Dec 3rd, 2019 - about 5 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 1558733576 NPPES
California MEDICAID LPT38249

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