Spillman, Lisa L

Spillman, Lisa L is an individual health care provider with primary practice located at 2605 Kenutcky Ave Suite 3 Bldg 3, Paducah KY 42003. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Spillman, Lisa L can be contacted via phone (270) 443-7534.

Contact Information

Primary practice address
2605 Kenutcky Ave Suite 3 Bldg 3 Paducah KY 42003
Phone: (270) 443-7534
Fax: (270) 442-0309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3002247 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002247 Kentucky

Profile Details

NPI number 1790788420
LBN Legal business name Spillman, Lisa L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Dec 3rd, 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 1790788420 NPPES
Kentucky MEDICAID 78001369

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