Mazur, Lisa C

Mazur, Lisa C is an individual health care provider with primary practice located at 4755 Ogletown-Stanton Road , Newark DE 19718-0001. 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. Mazur, Lisa C can be contacted via phone (302) 733-1000.

Contact Information

Primary practice address
4755 Ogletown-Stanton Road Newark DE 19718-0001
Phone: (302) 733-1000
Fax: (302) 733-1633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C50000131 Delaware

Profile Details

NPI number 1275511008
LBN Legal business name Mazur, Lisa C
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1275511008 NPPES
Delaware MEDICAID 0000756943

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