Ross, Lisa

Ross, Lisa is an individual health care provider with primary practice located at 100 Rivendell Dr , Benton AR 72019-9188. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ross, Lisa can be contacted via phone (501) 316-1255.

Contact Information

Primary practice address
100 Rivendell Dr Benton AR 72019-9188
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1790948396
LBN Legal business name Ross, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Jul 3rd, 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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