Sanford, Lisa Ann

Sanford, Lisa Ann is an individual health care provider with primary practice located at 3305 Sungate Blvd , Raleigh NC 27610-2871. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sanford, Lisa Ann can be contacted via phone (919) 212-0129.

Contact Information

Primary practice address
3305 Sungate Blvd Raleigh NC 27610-2871
Phone: (919) 212-0129
Fax: (919) 255-1540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 105289 North Carolina

Profile Details

NPI number 1225188196
LBN Legal business name Sanford, Lisa Ann
Credentials MSN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 29th, 2013 - about 11 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 1225188196 NPPES
Texas MEDICAID 7000247

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