Driskill, Lisa Gregory

Driskill, Lisa Gregory is an individual health care provider with primary practice located at 2505 Us Highway 431 , Boaz AL 35957-5908. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Driskill, Lisa Gregory can be contacted via phone (256) 840-3480.

Contact Information

Primary practice address
2505 Us Highway 431 Boaz AL 35957-5908
Phone: (256) 840-3480
Fax: (256) 840-3626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18259 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18259 Alabama

Profile Details

NPI number 1376588350
LBN Legal business name Driskill, Lisa Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jan 25th, 2013 - about 12 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 1376588350 NPPES
Alabama MEDICAID 051517358

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