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Ms. Lisa Bazemore Rivera, MD
Neurology Physician in Duluth, Georgia
NPI 1730332131

Lisa Bazemore Rivera is a Neurology Physician based in Atlanta, GA and is specialized in Neurology. Lisa Bazemore Rivera practices in Duluth, GA and has the professional credentials of MD. The NPI Number for Lisa Bazemore Rivera is 1730332131 and holds a License No. (Georgia).

The current practice location address for Lisa Bazemore Rivera is 3650 Steve Reynolds Blvd, Duluth, GA and can be reached out via phone at 205-934-4794.

Location: 3650 Steve Reynolds Blvd, Duluth, GA, 30305-1717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730332131
Provider Name
Lisa Bazemore Rivera
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3650 Steve Reynolds Blvd, Duluth, GA, 30305-1717
Phone Number
205-934-4794
Fax Number
Provider Enumeration Date
10/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3650 Steve Reynolds Blvd
City
Duluth
State
Georgia
Zip
30096-4506
Phone Number
205-934-4794
Fax Number
person
Provider Business Mailing Address Details
Address
3650 Steve Reynolds Blvd
City
Duluth
State
Georgia
Zip
30096-4506
Phone Number
205-934-4794
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
068548 (Georgia)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
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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