Newsome, Lisa T
Newsome, Lisa T is an individual health care provider with primary practice located at 1300 Western Blvd , Raleigh NC 27606-2148. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Anesthesiology, Dental Providers / Dentist Anesthesiologist. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Newsome, Lisa T can be contacted via phone (919) 832-3432.Contact Information
Primary practice address
1300 Western Blvd
Raleigh NC 27606-2148
Phone: (919) 832-3432
Fax: (919) 832-3305
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 9401068 | North Carolina |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036167627 | Illinois |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 9401068 | North Carolina |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | 9401068 | North Carolina |
Profile Details
NPI number | 1447235304 |
---|---|
LBN Legal business name | Newsome, Lisa T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2005 |
Last updated | Jan 9th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447235304 | NPPES |
North Carolina | MEDICAID | 8982439 |
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