Moe, Lisa

Moe, Lisa is an individual health care provider with primary practice located at 735 3Rd St Sw , Perham MN 56573-1152. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Moe, Lisa can be contacted via phone (605) 271-2690.

Contact Information

Primary practice address
735 3Rd St Sw Perham MN 56573-1152
Phone: (605) 271-2690
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-192142 Minnesota

Profile Details

NPI number 1427711753
LBN Legal business name Moe, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2021
Last updated Nov 10th, 2021 - 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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