Owens, Lisa Diane

Owens, Lisa Diane is an individual health care provider with primary practice located at 188 E Southway Blvd , Kokomo IN 46902-3650. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Owens, Lisa Diane can be contacted via phone (765) 453-9000.

Contact Information

Primary practice address
188 E Southway Blvd Kokomo IN 46902-3650
Phone: (765) 453-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001815A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001815A Indiana

Profile Details

NPI number 1083697601
LBN Legal business name Owens, Lisa Diane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Aug 8th, 2022 - about 2 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 1083697601 NPPES
Indiana MEDICAID 200499810

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