Rankin, Lisa Melaine

Rankin, Lisa Melaine is an individual health care provider with primary practice located at 499 Nw Prima Vista Blvd Suite 105, Port St Lucie FL 34983. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rankin, Lisa Melaine can be contacted via phone (772) 344-1409.

Contact Information

Primary practice address
499 Nw Prima Vista Blvd Suite 105 Port St Lucie FL 34983
Phone: (772) 344-1409
Fax: (772) 344-9441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0074325 Florida

Profile Details

NPI number 1720012438
LBN Legal business name Rankin, Lisa Melaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 30th, 2008 - about 16 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 1720012438 NPPES
Florida MEDICAID 253926800

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