Vinokur, Lisa A
Vinokur, Lisa A is an sole proprietor health care provider with primary practice located at 3400 Old Milton Pkwy Suite C585, Alpharetta GA 30005-4434. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Vinokur, Lisa A can be contacted via phone (770) 754-4445.Contact Information
Primary practice address
3400 Old Milton Pkwy Suite C585
Alpharetta GA 30005-4434
Phone: (770) 754-4445
Fax: (770) 754-4449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 038394 | Georgia |
Profile Details
| NPI number | 1023015963 |
|---|---|
| LBN Legal business name | Vinokur, Lisa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Nov 23rd, 2011 - about 13 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 | 1023015963 | NPPES |
| Georgia | MEDICAID | 002095813B | |
| Georgia | Other | 52473770 |
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