Chandler, Lisa
Chandler, Lisa is an sole proprietor health care provider with primary practice located at 4250 Bethel Rd Dept Of , Olive Branch MS 38654-8737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Chandler, Lisa can be contacted via phone (901) 516-7084.Contact Information
Primary practice address
4250 Bethel Rd Dept Of
Olive Branch MS 38654-8737
Phone: (901) 516-7084
Fax: (901) 276-5474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 11707 | Mississippi |
Profile Details
| NPI number | 1780787143 |
|---|---|
| LBN Legal business name | Chandler, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Oct 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780787143 | NPPES |
| Mississippi | MEDICAID | 00123848 |
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