Individual
DR. LISA J MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3360 N WATKINS ST, MEMPHIS, TN 38127-6405
(901) 401-7150
Mailing address
PO BOX 746725, ATLANTA, GA 30374-6725
(901) 401-7150
(901) 347-1285
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35126
TN
207R00000X
Internal Medicine Physician
Primary
35126
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3863830
—
TN
Enumeration date
05/03/2006
Last updated
03/31/2026
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