Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 051543 | CT |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD54134 | TN |
NPI | 1194969949 |
---|---|
Provider Name | Dr. Lisa Caren Zuckerwise |
First Address | Nashville, TN 37232-5100 |
Second Address | Nashville, TN 37232-5100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2009 |
Last Update Date | 15/10/2020 |