Olivero, Lisa M

Olivero, Lisa M is an individual health care provider with primary practice located at 2 Marjorie Trl , Ormond Beach FL 32174-8501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Olivero, Lisa M can be contacted via phone (386) 673-7904.

Contact Information

Primary practice address
2 Marjorie Trl Ormond Beach FL 32174-8501
Fax: (386) 673-7904
Website:

Health care specialties

Profile Details

NPI number 1003803750
LBN Legal business name Olivero, Lisa M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 9th, 2007 - about 17 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 1003803750 NPPES
Florida Other C2727 BCBS - MASSAGE THERAPY

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