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General NPI Number Information
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NPI Number | 1467405787
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Entity Type | Individual
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Provider Name | LISA M CHRISTIAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/05/2024
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Provider Practice Location Address
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Address Line | 1100 SOUTH MONTGOMERY AVE SUITE 259
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City | SHEFFIELD
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State | AL
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Zip | 35660
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Country | US
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Telephone | 256-383-3372
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Fax | 256-386-7109
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Provider Business Mailing Address
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Address Line | PO BOX 11407 DEPT # 5839
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City | BIRMINGHAM
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State | AL
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Zip | 35246-0001
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Country | US
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Telephone | 256-386-5898
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Fax | 256-386-5897
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M8994
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | MD.33730
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License Number State | AL
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