Dr Lisa Chandler, MD | |
4250 Bethel Rd Dept Of, Olive Branch, MS 38654-8737 | |
(901) 516-7084 | |
(901) 276-5474 |
Full Name | Dr Lisa Chandler |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 4250 Bethel Rd Dept Of, Olive Branch, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780787143 | NPI | - | NPPES |
00123848 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 11707 (Mississippi) | Primary |
Entity Name | Pathology Specialists Of Memphis Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437817491 PECOS PAC ID: 5193117364 Enrollment ID: O20220120000409 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Chandler, MD 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: (901) 478-0954 | Dr Lisa Chandler, MD 4250 Bethel Rd Dept Of, Olive Branch, MS 38654-8737 Ph: (901) 516-7084 |
Dr. Julie Tremor Hicks, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd Dept Of, Olive Branch, MS 38654 Phone: 901-516-7182 Fax: 901-276-5474 | |
Dr. Megan Hicks Kempe, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Dept Of Pathology, Olive Branch, MS 38654 Phone: 901-516-7182 Fax: 901-276-5474 |