Physician Compare National (NPI:1518965730)

HEALTHCARE PROVIDER: LISA LILLARD OGLESBY PT, PHD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1518965730
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133122997
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080131000017
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OGLESBY
	Individual professional last name
Provider First Name	LISA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1111 N NORTHSHORE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE S490
	Group Practice or individual's line 2 address
City	KNOXVILLE
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	379192808
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8655840171
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y