Northcutt, Lisa Lynn
Northcutt, Lisa Lynn is an sole proprietor health care provider with primary practice located at 1052 Summerplace Ln , Southlake TX 76092-5120. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Northcutt, Lisa Lynn can be contacted via phone (817) 379-5600.Contact Information
Primary practice address
1052 Summerplace Ln
Southlake TX 76092-5120
Phone: (817) 379-5600
Fax: (817) 329-6688
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 605077 | Texas |
Profile Details
NPI number | 1861580185 |
---|---|
LBN Legal business name | Northcutt, Lisa Lynn |
Credentials | RN, CRNFA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 11th, 2006 |
Last updated | Aug 7th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861580185 | NPPES |
Texas | Other | FM31 | BCBS OF TEXAS |
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