White, Lisa

White, Lisa is an individual health care provider with primary practice located at 1272 Garrison Dr , Murfreesboro TN 37129-2598. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. White, Lisa can be contacted via phone (615) 867-8040.

Contact Information

Primary practice address
1272 Garrison Dr Murfreesboro TN 37129-2598
Phone: (615) 867-8040
Fax: (615) 893-1769
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 45188 Tennessee

Profile Details

NPI number 1376690263
LBN Legal business name White, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 26th, 2020 - about 4 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 1376690263 NPPES
Tennessee Other 103I024911 MEDICARE ID
Tennessee MEDICAID 1525563 MEDICARE ID

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