Individual
LISA M HISKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2016018764
MO
2080P0208X
Pediatric Infectious Diseases Physician
Primary
5902
TN
2080P0208X
Pediatric Infectious Diseases Physician
68992
MN
Other
Enumeration date
07/02/2013
Last updated
12/23/2024
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