Simons, Lisa

Simons, Lisa is an individual health care provider with primary practice located at 4075 State Road 7 H1, Lake Worth FL 33449-8186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Simons, Lisa can be contacted via phone (561) 967-5761.

Contact Information

Primary practice address
4075 State Road 7 H1 Lake Worth FL 33449-8186
Phone: (561) 967-5761
Fax: (561) 967-5762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME84204 Florida

Profile Details

NPI number 1134118797
LBN Legal business name Simons, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Aug 28th, 2014 - 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 1134118797 NPPES
Florida MEDICAID 264074100

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