Dejarnette, Lisa F
Dejarnette, Lisa F is an individual health care provider with primary practice located at 4420 Lake Boone Trail , Raleigh NC 27607. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Dejarnette, Lisa F can be contacted via phone (919) 784-7093.Contact Information
Primary practice address
4420 Lake Boone Trail
Raleigh NC 27607
Phone: (919) 784-7093
Fax: (919) 784-7395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 33640 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33640 | North Carolina |
Profile Details
| NPI number | 1013994714 |
|---|---|
| LBN Legal business name | Dejarnette, Lisa F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1013994714 | NPPES |
| North Carolina | MEDICAID | 8928339 | |
| North Carolina | Other | 28339 |
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