Individual
REJANE C LISBOA
Active
Individual
REJANE C LISBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36145
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511090
—
TN
05
—
3877609
—
TN
01
—
P00771567
RAILROAD MEDICARE
TN
Enumeration date
10/01/2006
Last updated
03/02/2020
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