Palazzolo, Lisa Ann

Palazzolo, Lisa Ann is an individual health care provider with primary practice located at 7990 E Us Highway 36 , Avon IN 46123-7790. 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. Palazzolo, Lisa Ann can be contacted via phone (317) 272-0242.

Contact Information

Primary practice address
7990 E Us Highway 36 Avon IN 46123-7790
Phone: (317) 272-0242
Fax: (317) 272-7219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001712 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001712A Indiana

Profile Details

NPI number 1366535437
LBN Legal business name Palazzolo, Lisa Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 28th, 2011 - about 13 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 1366535437 NPPES
Indiana MEDICAID 200509850

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