Powers, Lisa Luanne

Powers, Lisa Luanne is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Powers, Lisa Luanne can be contacted via phone (706) 295-5331.

Contact Information

Primary practice address
1825 Martha Berry Blvd Nw Rome GA 30165-1625
Phone: (706) 295-5331
Fax: (706) 236-6360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN208590 Georgia

Profile Details

NPI number 1043539646
LBN Legal business name Powers, Lisa Luanne
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2010
Last updated May 15th, 2013 - about 11 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 1043539646 NPPES
Georgia MEDICAID 272184073A

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