Lisa Dianne Dove is a Surgical in Birmingham, Alabama. Lisa Dianne Dove practices all healthcare services and medical treatments related to Surgical. The NPI Number for Lisa Dianne Dove is 1720155476. The last update date is 2013-05-01.
Lisa Dianne Dove's current location address is 619 19th St S, Birmingham, Alabama. You can contact this provider via phone number 2059750512 and fax number 2059756404. The mailing address for Lisa Dianne Dove is 619 19th St S, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa Dianne Dove |
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Address | 619 19th St S, Birmingham, Alabama |
Phone Number | 2059750512 |
Fax Number | 2059756404 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1720155476 |
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Provider Enumeration Date | 2006-11-29 |
Last Updated Date | 2013-05-01 |
Provider Mailing Address Detail
Address | 619 19th St S |
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City | Birmingham |
State | Alabama (AL) |
Post Code | 352331900 |
Phone Number | 2059750512 |
Fax Number | 2059756404 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA491 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PAYEE #52991645 | AL | -- | |
9943016 | AL | -- |
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What is the unique identification code assigned to Lisa Dianne Dove by the Centers for Medicare & Medicaid Services?
The Lisa Dianne Dove has been issued the NPI (National Provider Identifier) 1720155476. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa Dianne Dove?
The Lisa Dianne Dove is situated at 619 19Th St S, in the city of Birmingham, state of AL, with the zip code 352331900.
What is Lisa Dianne Dove's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Dianne Dove is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
When did Lisa Dianne Dove receive its 1720155476 assignment?
The Lisa Dianne Dove was assigned its 1720155476 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Lisa Dianne Dove last refreshed?
The information related to the Lisa Dianne Dove, including its address, specialty, and other relevant details, was last updated on 2013-05-01.
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