Ernest Eugene Lissy is a Family in Stayton, Oregon. Ernest Eugene Lissy practices all healthcare services and medical treatments related to Family. The NPI Number for Ernest Eugene Lissy is 1013998475. The last update date is 2012-01-05.
Ernest Eugene Lissy's current location address is 1375 N 10th Ave, Stayton, Oregon. You can contact this provider via phone number 5037692641 and fax number 5037693797. The mailing address for Ernest Eugene Lissy is 1375 N 10th Ave, Stayton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ernest Eugene Lissy |
|---|---|
| Address | 1375 N 10th Ave, Stayton, Oregon |
| Phone Number | 5037692641 |
| Fax Number | 5037693797 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1013998475 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2012-01-05 |
Provider Mailing Address Detail
| Address | 1375 N 10th Ave |
|---|---|
| City | Stayton |
| State | Oregon (OR) |
| Post Code | 973832099 |
| Phone Number | 5037692641 |
| Fax Number | 5037693797 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 200450135NP |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Ernest Eugene Lissy's unique identification number?
The Ernest Eugene Lissy has been assigned the NPI (National Provider Identifier) Number 1013998475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Ernest Eugene Lissy's facilities are geographically located?
The facilities of Ernest Eugene Lissy are physically situated at the following location: 1375 N 10Th Ave, Stayton, OR, 973832099.
What is Ernest Eugene Lissy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ernest Eugene Lissy is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
When did Ernest Eugene Lissy receive its 1013998475 assignment?
The Ernest Eugene Lissy was assigned its 1013998475 on 2005-11-10, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Ernest Eugene Lissy most recently updated or revised?
The details related to Ernest Eugene Lissy, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-05.
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