MEDICARE: LISA L. HART-PATTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	44779	TN

General Provider Information

NPI Number	:	1710163290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA L. HART-PATTON MD

Provider Business Mailing Address
First Line	:	632 MORRISON SPRINGS RD
Second Line	:	SUITE 202
City	:	CHATTANOOGA
State	:	TN
Zip	:	37415-3402
Country	:	US
Telephone Number	:	423-778-3329
Fax Number	:	423-778-3551

Provider Business Practice Location Address
First Line	:	632 MORRISON SPRINGS RD
Second Line	:	SUITE 202
City	:	CHATTANOOGA
State	:	TN
Zip	:	37415-3402
Country	:	US
Telephone Number	:	423-778-3329
Fax Number	:	423-778-3551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	02/20/2024

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