Beattie, Lisa L.

Beattie, Lisa L. is an individual health care provider with primary practice located at 262 Danny Thomas Pl Ms 515, Memphis TN 38105-3678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Beattie, Lisa L. can be contacted via phone (901) 595-3006.

Contact Information

Primary practice address
262 Danny Thomas Pl Ms 515 Memphis TN 38105-3678
Phone: (901) 595-3006
Fax: (901) 595-3842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 108250 Tennessee

Profile Details

NPI number 1881671501
LBN Legal business name Beattie, Lisa L.
Credentials RN/NP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Mar 29th, 2011 - about 14 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 1881671501 NPPES
Tennessee MEDICAID 3495911
Tennessee MEDICAID 00126940
Tennessee MEDICAID 97108250
Tennessee MEDICAID 1133086
Tennessee MEDICAID 148244758
Tennessee MEDICAID 422400000

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