Skowron, Lisa Marie

Skowron, Lisa Marie is an individual health care provider with primary practice located at 23605 N High Ridge Dr Chrysalis Anaplastology Inc, Lake Zurich IL 60047-9048. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Skowron, Lisa Marie can be contacted via phone (847) 719-2984.

Contact Information

Primary practice address
23605 N High Ridge Dr Chrysalis Anaplastology Inc Lake Zurich IL 60047-9048
Phone: (847) 719-2984
Fax: (847) 719-2984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1174720452
LBN Legal business name Skowron, Lisa Marie
Credentials MAMS, BCO, BADO, CCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Jul 8th, 2007 - about 17 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 1174720452 NPPES
Illinois Other 33085536 STATE TAX ID NUMBER

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