Sanders, Lisa

Sanders, Lisa is an individual health care provider with primary practice located at 322 W South St , Union SC 29379. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sanders, Lisa can be contacted via phone (864) 429-8029.

Contact Information

Primary practice address
322 W South St Union SC 29379
Phone: (864) 429-8029
Fax: (864) 429-3515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18641 South Carolina

Profile Details

NPI number 1467874255
LBN Legal business name Sanders, Lisa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2014
Last updated Mar 12th, 2020 - about 4 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 1467874255 NPPES
South Carolina Other SC2674H888 MEDICARE PIN
South Carolina Other SC2674J577 MEDICARE PIN
South Carolina MEDICAID NP2693 MEDICARE PIN
South Carolina Other SC26746121 MEDICARE PIN
South Carolina Other SC26745019 MEDICARE PIN
South Carolina Other SC26746067 MEDICARE PIN

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