Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A101634 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 257323 | NY |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD53549 | TN |
NPI | 1043488265 |
---|---|
Provider Name | Dr. Rolanda Lamora Lister |
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 | 11/02/2008 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
207V00000X | OBSTETRICS AND GYNECOLOGY (01) | CA |