Wilson, Lisa Michelle

Wilson, Lisa Michelle is an individual health care provider with primary practice located at 3762 Durham Rd Suite B, Roxboro NC 27573-2741. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilson, Lisa Michelle can be contacted via phone (336) 322-1024.

Contact Information

Primary practice address
3762 Durham Rd Suite B Roxboro NC 27573-2741
Phone: (336) 322-1024
Fax: (336) 322-1022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200201023 North Carolina

Profile Details

NPI number 1689638892
LBN Legal business name Wilson, Lisa Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Aug 12th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689638892 NPPES
North Carolina MEDICAID 5903537
North Carolina MEDICAID N0102A

Popular Providers