Individual
DR. LISA CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4250 BETHEL RD DEPT OF, OLIVE BRANCH, MS 38654-8737
(901) 516-7084
(901) 276-5474
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
(901) 478-0954
(901) 478-0951
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11707
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123848
—
MS
Enumeration date
09/07/2006
Last updated
10/21/2022
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