Smith, Lisa A

Smith, Lisa A is an individual health care provider with primary practice located at 979 E 3Rd St Ste 300, Chattanooga TN 37403-2136. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Smith, Lisa A can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
979 E 3Rd St Ste 300 Chattanooga TN 37403-2136
Phone: (423) 267-0466
Fax: (423) 757-0775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD34792 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD34792 Tennessee

Profile Details

NPI number 1225022890
LBN Legal business name Smith, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 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 1225022890 NPPES
Other 370017967 RR MEDICARE
MEDICAID 2536518 RR MEDICARE
MEDICAID 00893516A RR MEDICARE
MEDICAID 7613562 RR MEDICARE
Other 4001261 RR MEDICARE
MEDICAID Q000856 RR MEDICARE
Other 1246480 002 RR MEDICARE
Other 1700058 RR MEDICARE
MEDICAID 009947640 RR MEDICARE
Other 62165877467 RR MEDICARE

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