Wilbur, Lisa Alejandra

Wilbur, Lisa Alejandra is an sole proprietor health care provider with primary practice located at 485 Huntington Rd Suite194, Athens GA 30606-1861. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Wilbur, Lisa Alejandra can be contacted via phone (706) 548-5922.

Contact Information

Primary practice address
485 Huntington Rd Suite194 Athens GA 30606-1861
Phone: (706) 548-5922
Fax: (706) 549-9354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT005128 Georgia

Profile Details

NPI number 1285906222
LBN Legal business name Wilbur, Lisa Alejandra
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2012
Last updated Feb 7th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285906222 NPPES
Georgia Other MT005128 STATE LICENSE

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