# REJANE LISBOA MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225209158
- **Authorized official:** REJANE LISBOA MD (OWNER AND ONLY MEMBER)
- **Authorized official phone:** (615) 333-0330

## Contact information

- **Practice address:** 393 WALLACE RD, STE A-400, NASHVILLE, TN 37211-4880
- **Practice address phone:** (615) 333-0330
- **Practice address fax:** (615) 333-9912
- **Mailing address:** 393 WALLACE RD, STE A-400, NASHVILLE, TN 37211-4880
- **Mailing address phone:** (615) 333-0330
- **Mailing address fax:** (615) 333-9912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 36145 | TN | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 03/19/2008
