Individual
DR. LISA SUZANNE USDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6401 POPLAR AVE, SUITE 420, MEMPHIS, TN 38120
(901) 843-1045
(901) 843-1206
Mailing address
6401 POPLAR AVE, SUITE 420, MEMPHIS, TN 38119
(901) 843-1045
(901) 843-1206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234654
MA
207R00000X
Internal Medicine Physician
43169
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0000043169
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
43169
TN
Other
Enumeration date
01/14/2008
Last updated
07/18/2014
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