Mazzola, Lisa M

Mazzola, Lisa M is an individual health care provider with primary practice located at 7300 N Fresno St , Fresno CA 93720-2942. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mazzola, Lisa M can be contacted via phone (559) 448-5280.

Contact Information

Primary practice address
7300 N Fresno St Fresno CA 93720-2942
Phone: (559) 448-5280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT1257 Maine

Profile Details

NPI number 1760514954
LBN Legal business name Mazzola, Lisa M
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Sep 19th, 2022 - about 3 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 1760514954 NPPES
Maine MEDICAID 199160099
Maine Other 099422

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