Individual
DR. LISA M MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2292 DALTON DR STE C, CLARKSVILLE, TN 37043-8961
(931) 645-5595
(931) 645-5596
Mailing address
2292 DALTON DR, STE C, CLARKSVILLE, TN 37043-8961
(931) 645-5595
(931) 645-5596
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
029433
TN
207VG0400X
Gynecology Physician
MD 029433
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477866820
NPI GROUP
TN
01
—
1952792111
GROUP NPI
—
Enumeration date
10/04/2006
Last updated
09/12/2025
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