Hubbard, Lisa Dianne Hatch

Hubbard, Lisa Dianne Hatch is an individual health care provider with primary practice located at 813 E Wood St , Paris TN 38242-4223. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hubbard, Lisa Dianne Hatch can be contacted via phone (731) 924-2000.

Contact Information

Primary practice address
813 E Wood St Paris TN 38242-4223
Phone: (731) 924-2000
Fax: (731) 653-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1170 Tennessee

Profile Details

NPI number 1760461016
LBN Legal business name Hubbard, Lisa Dianne Hatch
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2006
Last updated Jul 29th, 2021 - about 4 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 1760461016 NPPES
Tennessee MEDICAID 1530813

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