Pazdur, Lisa M

Pazdur, Lisa M is an individual health care provider with primary practice located at 757 45Th St Ste 201 , Munster IN 46321-2912. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pazdur, Lisa M can be contacted via phone (219) 922-5528.

Contact Information

Primary practice address
757 45Th St Ste 201 Munster IN 46321-2912
Phone: (219) 922-5528
Fax: (219) 922-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000717 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000717A Indiana

Profile Details

NPI number 1144269168
LBN Legal business name Pazdur, Lisa M
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 12th, 2021 - about 3 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 1144269168 NPPES
Indiana MEDICAID 200286330
Indiana MEDICAID 200286330A

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