Rogers, Lisa R

Rogers, Lisa R is an individual health care provider with primary practice located at 2863 Highway 45 Byp , Jackson TN 38305-3618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Rogers, Lisa R can be contacted via phone (731) 660-8300.

Contact Information

Primary practice address
2863 Highway 45 Byp Jackson TN 38305-3618
Phone: (731) 660-8300
Fax: (731) 660-8301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD21572 Tennessee

Profile Details

NPI number 1255309795
LBN Legal business name Rogers, Lisa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 29th, 2012 - about 13 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 1255309795 NPPES
Tennessee MEDICAID 3059522

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