Porthouse, Lisa

Porthouse, Lisa is an sole proprietor health care provider with primary practice located at 621 S New Ballas Rd Suite 2009 B, Saint Louis MO 63141-8232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Porthouse, Lisa can be contacted via phone (314) 251-6000.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 2009 B Saint Louis MO 63141-8232
Phone: (314) 251-6000
Fax: (314) 251-4376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 113826 Missouri

Profile Details

NPI number 1750653697
LBN Legal business name Porthouse, Lisa
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2012
Last updated Jun 24th, 2013 - about 12 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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