Roth, Lisa Hughes

Roth, Lisa Hughes is an sole proprietor health care provider with primary practice located at 501 Del Prado Blvd S , Cape Coral FL 33990-2618. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Roth, Lisa Hughes can be contacted via phone (239) 424-3120.

Contact Information

Primary practice address
501 Del Prado Blvd S Cape Coral FL 33990-2618
Fax: (239) 424-1423
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X ND4772 Florida

Profile Details

NPI number 1083133235
LBN Legal business name Roth, Lisa Hughes
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2017
Last updated Feb 26th, 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 1083133235 NPPES
Florida MEDICAID 121375300

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