Royston, Lisa Ann
Royston, Lisa Ann is an sole proprietor health care provider with primary practice located at 2308 W 21St St , Panama City FL 32405-2424. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Royston, Lisa Ann can be contacted via phone (850) 763-1442.Contact Information
Primary practice address
2308 W 21St St
Panama City FL 32405-2424
Phone: (850) 763-1442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1386959450 |
|---|---|
| LBN Legal business name | Royston, Lisa Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2010 |
| Last updated | Aug 13th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386959450 | NPPES |
| Florida | MEDICAID | 673364696 |
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