Tannock, Lisa Rochelle

Tannock, Lisa Rochelle is an individual health care provider with primary practice located at 740 S Limestone , Lexington KY 40536-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Tannock, Lisa Rochelle can be contacted via phone (859) 323-5981.

Contact Information

Primary practice address
740 S Limestone Lexington KY 40536-0001
Phone: (859) 323-5981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38487 Kentucky
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 38487 Kentucky

Profile Details

NPI number 1720092661
LBN Legal business name Tannock, Lisa Rochelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 13th, 2011 - 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 1720092661 NPPES
Kentucky MEDICAID 64075302

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