Organization
REJANE LISBOA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REJANE LISBOA MD (OWNER AND ONLY MEMBER)
(615) 333-0330
Entity
Organization
Contact information
Practice address
393 WALLACE RD, STE A-400, NASHVILLE, TN 37211-4880
(615) 333-0330
(615) 333-9912
Mailing address
393 WALLACE RD, STE A-400, NASHVILLE, TN 37211-4880
(615) 333-0330
(615) 333-9912
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
36145
TN
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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