Rackley, Lisa Darbonne

Rackley, Lisa Darbonne is an individual health care provider with primary practice located at 96Th Medical Group 307 Boatner Road, Eglin Afb FL 32542. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Rackley, Lisa Darbonne can be contacted via phone (850) 883-9957.

Contact Information

Primary practice address
96Th Medical Group 307 Boatner Road Eglin Afb FL 32542
Phone: (850) 883-9957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3672 Louisiana

Profile Details

NPI number 1346687373
LBN Legal business name Rackley, Lisa Darbonne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2013
Last updated Feb 20th, 2019 - about 6 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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