Salem, Lisa A

Salem, Lisa A is an individual health care provider with primary practice located at 150 Entrance Way Div Im Medical Oncology, Ste 100, Saint Peters MO 63376-1645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Salem, Lisa A can be contacted via phone (800) 647-2098.

Contact Information

Primary practice address
150 Entrance Way Div Im Medical Oncology, Ste 100 Saint Peters MO 63376-1645
Phone: (800) 647-2098
Fax: (314) 362-3192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 141819 Missouri

Profile Details

NPI number 1861503898
LBN Legal business name Salem, Lisa A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 25th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861503898 NPPES
Missouri MEDICAID 425304110

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