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Lismar Collado, MD
Student in an Organized Health Care Education/Training Program in Jackson, Tennessee
NPI 1063187896

Lismar Collado is a Student in an Organized Health Care Education/Training Program based in Cayey, TN. Lismar Collado practices in Jackson, TN and has the professional credentials of MD. The NPI Number for Lismar Collado is 1063187896 and holds a License No. (Tennessee).

The current practice location address for Lismar Collado is 294 Summar Dr, Jackson, TN and can be reached out via phone at 787-616-3176.

Location: 294 Summar Dr, Jackson, TN, 00736-9228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063187896
Provider Name
Lismar Collado
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
294 Summar Dr, Jackson, TN, 00736-9228
Phone Number
787-616-3176
Fax Number
Provider Enumeration Date
08/13/2021
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
294 Summar Dr
City
Jackson
State
Tennessee
Zip
38301-3915
Phone Number
787-616-3176
Fax Number
person
Provider Business Mailing Address Details
Address
294 Summar Dr
City
Jackson
State
Tennessee
Zip
38301-3915
Phone Number
787-616-3176
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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