Robertson, Lisa Kay

Robertson, Lisa Kay is an individual health care provider with primary practice located at 504 W 29Th St , Tucson AZ 85713-3353. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Robertson, Lisa Kay can be contacted via phone (520) 838-5600.

Contact Information

Primary practice address
504 W 29Th St Tucson AZ 85713-3353
Phone: (520) 838-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X AP10054 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP10054 Arizona

Profile Details

NPI number 1003342734
LBN Legal business name Robertson, Lisa Kay
Credentials MSN, AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2017
Last updated Oct 10th, 2022 - about 2 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 1003342734 NPPES
Arizona MEDICAID 276234

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