Pham, Lisa

Pham, Lisa is an individual health care provider with primary practice located at 3231 S National Ave Ste 300 , Springfield MO 65807-7304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pham, Lisa can be contacted via phone (417) 888-5658.

Contact Information

Primary practice address
3231 S National Ave Ste 300 Springfield MO 65807-7304
Phone: (417) 888-5658
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G80996 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015003729 Missouri

Profile Details

NPI number 1275502379
LBN Legal business name Pham, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 25th, 2022 - 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 1275502379 NPPES
Missouri MEDICAID 1275502379
Missouri Other 2015003729

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