Young, Lisa S.

Young, Lisa S. is an sole proprietor health care provider with primary practice located at 433 Del Alto Ave Ne , Palm Bay FL 32907-2086. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Young, Lisa S. can be contacted via phone (321) 327-4233.

Contact Information

Primary practice address
433 Del Alto Ave Ne Palm Bay FL 32907-2086
Phone: (321) 327-4233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1982867495
LBN Legal business name Young, Lisa S.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2008
Last updated Jul 3rd, 2008 - about 17 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 1982867495 NPPES
Florida Other 230381700 FLOIRDA MEDICAID PROVDER NUMBER

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