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Dr. Lisa Eleanor Jefferson, DO
Family Medicine Physician in Portsmouth, Virginia
NPI 1578502969

Lisa Eleanor Jefferson is a Family Medicine Physician based in Portsmouth, VA. Lisa Eleanor Jefferson practices in Portsmouth, VA and has the professional credentials of DO. The NPI Number for Lisa Eleanor Jefferson is 1578502969 and holds a License No. 0102050078 (Virginia).

The current practice location address for Lisa Eleanor Jefferson is 4106 Portsmouth Blvd, Portsmouth, VA and can be reached out via phone at 757-393-1136 and via fax at 757-698-2499.

Location: 4106 Portsmouth Blvd, Portsmouth, VA, 23701-2968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578502969
Provider Name
Lisa Eleanor Jefferson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4106 Portsmouth Blvd, Portsmouth, VA, 23701-2968
Phone Number
757-393-1136
Fax Number
757-698-2499
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54208 01 VA OPTIMA HEALTH
219614 01 VA ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
4106 Portsmouth Blvd
City
Portsmouth
State
Virginia
Zip
23701-2968
Phone Number
757-393-1136
Fax Number
757-698-2499
person
Provider Business Mailing Address Details
Address
4106 Portsmouth Blvd
City
Portsmouth
State
Virginia
Zip
23701-2968
Phone Number
757-393-1136
Fax Number
757-698-2499
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0102050078 (Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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