Anderson, Lisa D

Anderson, Lisa D is an individual health care provider with primary practice located at 935 Highway 51 , Madison MS 39110-8407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Anderson, Lisa D can be contacted via phone (601) 856-5986.

Contact Information

Primary practice address
935 Highway 51 Madison MS 39110-8407
Phone: (601) 856-5986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 16045 Mississippi

Profile Details

NPI number 1699703389
LBN Legal business name Anderson, Lisa D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 9th, 2016 - about 8 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 1699703389 NPPES
Mississippi MEDICAID 00122742

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