Provider Demographics
NPI:1386078277
Name:PINN, LISA CAROLE (DVM)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:CAROLE
Last Name:PINN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 W BARTLETT RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-4482
Mailing Address - Country:US
Mailing Address - Phone:630-289-2288
Mailing Address - Fax:630-289-2208
Practice Address - Street 1:770 W BARTLETT RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4482
Practice Address - Country:US
Practice Address - Phone:630-289-2288
Practice Address - Fax:630-289-2208
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090.009664174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian