Individual
LISA RENEE JUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 533-6645
(770) 535-2642
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
047465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10045188
AMERIGROUP
GA
01
—
2626025
CIGNA
GA
01
—
340858
WELLCARE
GA
01
—
52598889
BCBS
GA
01
—
7600061
UNITED HEALTHCARE
GA
Enumeration date
01/23/2006
Last updated
07/08/2007
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