Sullivan, Lisa M
Sullivan, Lisa M is an individual health care provider with primary practice located at 7601 Pioneers Blvd , Lincoln NE 68506-4675. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Sullivan, Lisa M can be contacted via phone (402) 484-6677.Contact Information
Primary practice address
7601 Pioneers Blvd
Lincoln NE 68506-4675
Phone: (402) 484-6677
Fax: (402) 484-4476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20787 | Nebraska |
Profile Details
| NPI number | 1740248764 |
|---|---|
| LBN Legal business name | Sullivan, Lisa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jan 20th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740248764 | NPPES |
| Nebraska | Other | 273355 | AMI MEDICARE PIN |
| Nebraska | MEDICAID | 47078180813 | AMI MEDICARE PIN |
| Nebraska | Other | NA1330008 | AMI MEDICARE PIN |
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