Oglesby, Lisa Lillard

Oglesby, Lisa Lillard is an sole proprietor health care provider with primary practice located at 1111 N Northshore Dr Ste S490 , Knoxville TN 37919-2808. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Oglesby, Lisa Lillard can be contacted via phone (865) 584-0171.

Contact Information

Primary practice address
1111 N Northshore Dr Ste S490 Knoxville TN 37919-2808
Phone: (865) 584-0171
Fax: (865) 584-0174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT764 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P2740 Tennessee

Profile Details

NPI number 1518965730
LBN Legal business name Oglesby, Lisa Lillard
Credentials PT, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Jan 18th, 2019 - about 5 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 1518965730 NPPES
Tennessee MEDICAID 3646591
Tennessee MEDICAID 36465911

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