Rose-Cantrell, Lisa Marie

Rose-Cantrell, Lisa Marie is an individual health care provider with primary practice located at 5440 Hillandale Drive Kaiser Permanente Panola Medical Center, Lithonia GA 30058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rose-Cantrell, Lisa Marie can be contacted via phone (770) 322-3216.

Contact Information

Primary practice address
5440 Hillandale Drive Kaiser Permanente Panola Medical Center Lithonia GA 30058
Phone: (770) 322-3216
Fax: (770) 938-1759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN190406NP Georgia

Profile Details

NPI number 1114053345
LBN Legal business name Rose-Cantrell, Lisa Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Feb 9th, 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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