Reisner, Lisa Carol

Reisner, Lisa Carol is an individual health care provider with primary practice located at 433 Sw 10Th St , Ocala FL 34471-0209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Reisner, Lisa Carol can be contacted via phone (352) 732-4032.

Contact Information

Primary practice address
433 Sw 10Th St Ocala FL 34471-0209
Fax: (352) 732-4191
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 0935622 Florida

Profile Details

NPI number 1255328225
LBN Legal business name Reisner, Lisa Carol
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jun 20th, 2016 - about 8 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 1255328225 NPPES
Florida MEDICAID 015120300

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