person
Ms. Lisa Dianne Dove
Medical Physician Assistant in Birmingham, Alabama
NPI 1720155476

Lisa Dianne Dove is a Medical Physician Assistant based in Birmingham, AL and is specialized in Medical. Lisa Dianne Dove practices in Birmingham, AL. The NPI Number for Lisa Dianne Dove is 1720155476 and holds a License No. PA491 (Alabama).

The current practice location address for Lisa Dianne Dove is 619 19Th St S, Birmingham, AL and can be reached out via phone at 205-975-0512 and via fax at 205-975-6404. You can also correspond with Lisa Dianne Dove through the mailing address at 619 19TH ST S, BIRMINGHAM, AL - 35233-1900 (mailing address contact number: 205-975-0512).

Location: 619 19Th St S, Birmingham, AL, 35233-1900
person
Provider Profile Details
NPI Number
1720155476
Provider Name
Lisa Dianne Dove
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 19Th St S, Birmingham, AL, 35233-1900
Phone Number
205-975-0512
Fax Number
205-975-6404
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PAYEE #529916450 05 AL
009943016 05 AL
institution
Provider Business Practice Location Address Details
Address
619 19Th St S
City
State
Zip
35233-1900
Phone Number
205-975-0512
Fax Number
205-975-6404
person
Provider Business Mailing Address Details
Address
619 19Th St S
City
State
Zip
35233-1900
Phone Number
205-975-0512
Fax Number
205-975-6404
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
491 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA491 (Alabama)
Definition
Definition to come...
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