Rose, Lisa R

Rose, Lisa R is an individual health care provider with primary practice located at 303 E Altamonte Dr Ste 1000 , Altamonte Springs FL 32701-4403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rose, Lisa R can be contacted via phone (407) 349-7917.

Contact Information

Primary practice address
303 E Altamonte Dr Ste 1000 Altamonte Springs FL 32701-4403
Phone: (407) 349-7917
Fax: (407) 349-7917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME93262 Florida

Profile Details

NPI number 1982740585
LBN Legal business name Rose, Lisa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 12th, 2024 - about 9 months 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 1982740585 NPPES
Florida MEDICAID 274053200

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