Lisa Eleanor Jefferson in Portsmouth - Family Medicine
Lisa Eleanor Jefferson - NPI 1578502969
Lisa Eleanor Jefferson is a Family Medicine in Portsmouth, Virginia. Lisa Eleanor Jefferson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lisa Eleanor Jefferson is 1578502969. The last update date is 2020-12-30.
Lisa Eleanor Jefferson's current location address is 4106 Portsmouth Blvd, Portsmouth, Virginia. You can contact this provider via phone number 7573931136 and fax number 7576982499. The mailing address for Lisa Eleanor Jefferson is 4106 Portsmouth Blvd, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Eleanor Jefferson |
|---|---|
| Address | 4106 Portsmouth Blvd, Portsmouth, Virginia |
| Phone Number | 7573931136 |
| Fax Number | 7576982499 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1578502969 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2020-12-30 |
Provider Mailing Address Detail
| Address | 4106 Portsmouth Blvd |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237012968 |
| Phone Number | 7573931136 |
| Fax Number | 7576982499 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 102050078 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54208 | VA | OPTIMA HEALTH | |
| 219614 | VA | ANTHEM BCBS |
Post Comment/ Review Below
What is the Lisa Eleanor Jefferson's 1578502969?
The Lisa Eleanor Jefferson's NPI (National Provider Identifier) Number is 1578502969. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lisa Eleanor Jefferson?
The Lisa Eleanor Jefferson is physically situated at 4106 Portsmouth Blvd, in the city of Portsmouth, state of VA, with the postal code 237012968.
On what date did the Centers for Medicare & Medicaid Services issue the 1578502969 to Lisa Eleanor Jefferson?
The Lisa Eleanor Jefferson received its 1578502969 assignment from the Centers for Medicare & Medicaid Services on 2006-06-04.
When was the Lisa Eleanor Jefferson's information last updated?
The Lisa Eleanor Jefferson's information was last updated on 2020-12-30.
When was the information pertaining to Lisa Eleanor Jefferson most recently updated or revised?
The details related to Lisa Eleanor Jefferson, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-30.
NPI Number: 1316940851
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