Triplett, Lisa R

Triplett, Lisa R is an individual health care provider with primary practice located at 140 South Holly Street , Medford OR 97501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Triplett, Lisa R can be contacted via phone (541) 774-8200.

Contact Information

Primary practice address
140 South Holly Street Medford OR 97501
Phone: (541) 774-8200
Fax: (541) 774-7964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201403397-NP Oregon

Profile Details

NPI number 1861428708
LBN Legal business name Triplett, Lisa R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 23rd, 2014 - about 10 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 1861428708 NPPES
Indiana MEDICAID 200510070

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