Pfitzer, Lisa Joan
Pfitzer, Lisa Joan is an individual health care provider with primary practice located at 12680 Olive Blvd Ste 200 , Saint Louis MO 63141-6322. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Pfitzer, Lisa Joan can be contacted via phone (314) 529-5660.Contact Information
Primary practice address
12680 Olive Blvd Ste 200
Saint Louis MO 63141-6322
Phone: (314) 529-5660
Fax: (314) 529-5665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36493 | Kentucky |
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | 36493 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3012736 | Kentucky |
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | 2022018676 | Missouri |
Profile Details
| NPI number | 1518978097 |
|---|---|
| LBN Legal business name | Pfitzer, Lisa Joan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Sep 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518978097 | NPPES |
| Indiana | MEDICAID | 200885700 | |
| Indiana | MEDICAID | 64034259 |
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