Provider Demographics
NPI:1417485129
Name:COBB, LISA R (APRN)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:R
Last Name:COBB
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:SC HOUSE CALLS INC
Mailing Address - Street 2:111 DOCTORS CIRCLE
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:800-491-0909
Mailing Address - Fax:
Practice Address - Street 1:SC HOUSE CALLS INC
Practice Address - Street 2:111 DOCTORS CIRCLE
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:800-491-0909
Practice Address - Fax:864-675-4655
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2022-11-03
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Provider Licenses
StateLicense IDTaxonomies
SC20982363LF0000X, 363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health