Swann, Lisa Ann

Swann, Lisa Ann is an individual health care provider with primary practice located at 151 Peachwood Centre Dr , Spartanburg SC 29301-2575. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Swann, Lisa Ann can be contacted via phone (864) 560-9927.

Contact Information

Primary practice address
151 Peachwood Centre Dr Spartanburg SC 29301-2575
Fax: (864) 562-5470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11913 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11913 South Carolina

Profile Details

NPI number 1972574242
LBN Legal business name Swann, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 11th, 2023 - about last year

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 1972574242 NPPES
South Carolina MEDICAID 119133
South Carolina Other H470968510
South Carolina Other SCF034J577
South Carolina Other SCF0346084
South Carolina Other SCF0346067
South Carolina Other SCF0346121
South Carolina Other H470969068

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