Wagoner, Lisa Carroll
Wagoner, Lisa Carroll is an sole proprietor health care provider with primary practice located at 5444 Fullerton Cir , Highlands Ranch CO 80130-6642. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Wagoner, Lisa Carroll can be contacted via phone (910) 409-8509.Contact Information
Primary practice address
5444 Fullerton Cir
Highlands Ranch CO 80130-6642
Phone: (910) 409-8509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | RN.1632465 | Colorado |
Profile Details
| NPI number | 1720438963 |
|---|---|
| LBN Legal business name | Wagoner, Lisa Carroll |
| Credentials | RN, COHN-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2016 |
| Last updated | Jun 19th, 2016 - about 8 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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