Proulx, Lisa M

Proulx, Lisa M is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd Usa Meddac, Attn Credentials, Fort Drum NY 13602. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Proulx, Lisa M can be contacted via phone (315) 772-3546.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Usa Meddac, Attn Credentials Fort Drum NY 13602
Phone: (315) 772-3546
Fax: (315) 772-9762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 696332 New York

Profile Details

NPI number 1568478253
LBN Legal business name Proulx, Lisa M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jun 20th, 2018 - about 7 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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