Wilson, Lisa Ann
Wilson, Lisa Ann is an individual health care provider with primary practice located at 3500 W Purdue Ave , Muncie IN 47304-6357. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Wilson, Lisa Ann can be contacted via phone (765) 747-6090.Contact Information
Primary practice address
3500 W Purdue Ave
Muncie IN 47304-6357
Phone: (765) 747-6090
Fax: (765) 747-5069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 01044182 | Indiana |
Profile Details
| NPI number | 1336223833 |
|---|---|
| LBN Legal business name | Wilson, Lisa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 19th, 2023 - about last year |
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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