Moorman, Lisa M

Moorman, Lisa M is an sole proprietor health care provider with primary practice located at 3050 Mack Rd Ste 300 , Fairfield OH 45014-5376. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Moorman, Lisa M can be contacted via phone (513) 751-2145.

Contact Information

Primary practice address
3050 Mack Rd Ste 300 Fairfield OH 45014-5376
Phone: (513) 751-2145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1102028 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 07397-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.07397 Ohio

Profile Details

NPI number 1548225873
LBN Legal business name Moorman, Lisa M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Apr 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548225873 NPPES
Indiana MEDICAID 200444510
Indiana MEDICAID 3059596
Indiana MEDICAID 78010451

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