Chastant, Lisa Renee
Chastant, Lisa Renee is an individual health care provider with primary practice located at 2550 Pass Rd # G , Biloxi MS 39531-2726. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Chastant, Lisa Renee can be contacted via phone (228) 207-5140.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 26245 | Mississippi |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 26245 | Mississippi |
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | C1-0009800 | Delaware |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C1-0009800 | Delaware |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 3284-20 | Wisconsin |
Profile Details
| NPI number | 1144545195 |
|---|---|
| LBN Legal business name | Chastant, Lisa Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2010 |
| Last updated | Oct 3rd, 2023 - 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 | 1144545195 | NPPES |
| Wisconsin | MEDICAID | 1144545195 |
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