Lisa Dianne Dove

NPI 1720155476 - Physician Assistant - 363AS0400X

NPI Details
NPI 1720155476
Gender Female
Enumeration Date 11/29/2006
Last Updated 05/01/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
619 19TH ST S
P 915
BIRMINGHAM AL, 35233-1900, US
Phone (205) 975-0512
Fax (205) 975-6404
Business Location
619 19TH ST S
P 915
BIRMINGHAM AL, 35233-1900, US
Phone (205) 975-0512
Fax (205) 975-6404
Toxanomy
Taxonomy Code 363AS0400X
License State Alabama
License Number PA491
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According to our database, Ms. Lisa Dianne Dove NPI is 1720155476, taxonomy code is 363AS0400X and license number is PA491, license state is located at Alabama. Lisa Dianne Dove physically located at 619 19th St S, Birmingham AL, 35233-1900. NPI Number Lisa Dianne Dove has the Individual type.

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1720155476 NPI number is provided on an as is basis without warranty of any kind. 1720155476 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Dianne Dove are for informational purposes only.