Polk, Lisa Ann

Polk, Lisa Ann is an individual health care provider with primary practice located at 134 Evergreen Ct , Mount Royal NJ 08061-1128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Polk, Lisa Ann can be contacted via phone (856) 516-3844.

Contact Information

Primary practice address
134 Evergreen Ct Mount Royal NJ 08061-1128
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01117300 New Jersey

Profile Details

NPI number 1235714635
LBN Legal business name Polk, Lisa Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2021
Last updated Mar 17th, 2021 - about 4 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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