Stauffer, Lisa Ann

Stauffer, Lisa Ann is an individual health care provider with primary practice located at 2102 Nez Perce Dr , Lewiston ID 83501-4116. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Stauffer, Lisa Ann can be contacted via phone (208) 743-4434.

Contact Information

Primary practice address
2102 Nez Perce Dr Lewiston ID 83501-4116
Phone: (208) 743-4434
Fax: (208) 743-9422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 1225043342 Idaho

Profile Details

NPI number 1194208462
LBN Legal business name Stauffer, Lisa Ann
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2018
Last updated Sep 12th, 2018 - about 6 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 1194208462 NPPES
Idaho MEDICAID 1225043342

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