Individual
LISA YEZBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 781-4000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD029443
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3069155
BLUECROSS
TN
05
—
3815498
—
TN
01
—
4151527
BLUECROSS
TN
01
—
P00208428
RAILROAD MEDICARE
TN
Enumeration date
06/03/2006
Last updated
01/29/2013
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