Individual
DR. LISA T NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 WESTERN BLVD, RALEIGH, NC 27606-2148
(919) 832-3432
(919) 832-3305
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
9401068
NC
1223G0001X
General Practice Dentistry
9401068
NC
207L00000X
Anesthesiology Physician
036167627
IL
207L00000X
Anesthesiology Physician
Primary
9401068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8982439
—
NC
Enumeration date
12/13/2005
Last updated
01/09/2024
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