Nuckolls, Lisa

Nuckolls, Lisa is an sole proprietor health care provider with primary practice located at 5598 8Th St W Unit 3 , Lehigh Acres FL 33971-6341. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Nuckolls, Lisa can be contacted via phone (239) 674-9374.

Contact Information

Primary practice address
5598 8Th St W Unit 3 Lehigh Acres FL 33971-6341
Phone: (239) 674-9374
Fax: (239) 674-9374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SI2872 Florida

Profile Details

NPI number 1699299370
LBN Legal business name Nuckolls, Lisa
Credentials SLPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2017
Last updated Mar 17th, 2018 - about 7 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 1699299370 NPPES
Florida MEDICAID 06236000

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