Mcintosh, Lisa M

Mcintosh, Lisa M is an sole proprietor health care provider with primary practice located at 2292 Dalton Dr Ste C , Clarksville TN 37043-8961. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mcintosh, Lisa M can be contacted via phone (931) 645-5595.

Contact Information

Primary practice address
2292 Dalton Dr Ste C Clarksville TN 37043-8961
Phone: (931) 645-5595
Fax: (931) 645-5596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD 029433 Tennessee
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 029433 Tennessee

Profile Details

NPI number 1407941578
LBN Legal business name Mcintosh, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Apr 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407941578 NPPES
Tennessee Other 1477866820 NPI GROUP
Tennessee Other 1952792111 NPI GROUP

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