Dixon, Lisa Ross

Dixon, Lisa Ross is an individual health care provider with primary practice located at 6400 W. Newberry Road Suite 302, Gainesville FL 32605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Dixon, Lisa Ross can be contacted via phone (352) 331-8902.

Contact Information

Primary practice address
6400 W. Newberry Road Suite 302 Gainesville FL 32605
Phone: (352) 331-8902
Fax: (352) 224-1094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME90083 Florida

Profile Details

NPI number 1124073176
LBN Legal business name Dixon, Lisa Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 16th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124073176 NPPES
Florida MEDICAID 269758100

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