Odabasi, Lisa

Odabasi, Lisa is an individual health care provider with primary practice located at 11803 Jefferson Ave Suite 230, Newport News VA 23606-2565. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Odabasi, Lisa can be contacted via phone (757) 534-7701.

Contact Information

Primary practice address
11803 Jefferson Ave Suite 230 Newport News VA 23606-2565
Phone: (757) 534-7701
Fax: (757) 534-7708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101044841 Virginia

Profile Details

NPI number 1639161458
LBN Legal business name Odabasi, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 13th, 2011 - about 14 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 1639161458 NPPES
Virginia MEDICAID 6002676

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