Moffett, Lisa

Moffett, Lisa is an sole proprietor health care provider with primary practice located at 2300 W Sahara Ave Ste 800 , Las Vegas NV 89102-4397. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moffett, Lisa can be contacted via phone (702) 706-3668.

Contact Information

Primary practice address
2300 W Sahara Ave Ste 800 Las Vegas NV 89102-4397
Phone: (702) 706-3668
Fax: (702) 920-8641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7423-C Nevada

Profile Details

NPI number 1821006297
LBN Legal business name Moffett, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jan 15th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821006297 NPPES
Nevada MEDICAID 1821006297

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