Sand, Lisa Marie

Sand, Lisa Marie is an individual health care provider with primary practice located at 1655 Bernardin Ave Ste 350 , Columbia SC 29204-2039. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Sand, Lisa Marie can be contacted via phone (803) 673-0925.

Contact Information

Primary practice address
1655 Bernardin Ave Ste 350 Columbia SC 29204-2039
Phone: (803) 673-0925
Fax: (803) 400-5026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X A317 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 317 South Carolina

Profile Details

NPI number 1578514428
LBN Legal business name Sand, Lisa Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 25th, 2021 - about 3 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 1578514428 NPPES
South Carolina MEDICAID 3015PA
South Carolina Other A317

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