Spore, Lisa M

Spore, Lisa M is an sole proprietor health care provider with primary practice located at 307 S West St , Nixa MO 65714-8413. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Spore, Lisa M can be contacted via phone (417) 494-5031.

Contact Information

Primary practice address
307 S West St Nixa MO 65714-8413
Fax: (417) 551-4146
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2011016318 Missouri

Profile Details

NPI number 1720372659
LBN Legal business name Spore, Lisa M
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2011
Last updated Oct 5th, 2022 - about 2 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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