Smith, Lisa
Smith, Lisa is an individual health care provider with primary practice located at 2200 Bergquist Dr Ste 1 Attn: Credentials, Lackland A F B TX 78236-9908. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Smith, Lisa can be contacted via phone (210) 292-5034.Contact Information
Primary practice address
2200 Bergquist Dr Ste 1 Attn: Credentials
Lackland A F B TX 78236-9908
Phone: (210) 292-5034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | 1048445 | Texas |
Profile Details
| NPI number | 1225118920 |
|---|---|
| LBN Legal business name | Smith, Lisa |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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