Utsey, Lisa Ann
Utsey, Lisa Ann is an individual health care provider with primary practice located at 900 Ingraham Ave , Haines City FL 33844-4336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Utsey, Lisa Ann can be contacted via phone (863) 421-6565.Contact Information
Primary practice address
900 Ingraham Ave
Haines City FL 33844-4336
Phone: (863) 421-6565
Fax: (863) 421-7474
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME72026 | Florida |
Profile Details
NPI number | 1932282803 |
---|---|
LBN Legal business name | Utsey, Lisa Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2006 |
Last updated | Jan 12th, 2015 - about 9 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 | 1932282803 | NPPES |
Florida | Other | 5831637 | AETNA |
Florida | Other | 172406 | AETNA |
Florida | Other | 49399 | AETNA |
Florida | MEDICAID | 256001101 | AETNA |
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