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NPI Code Detail

MEDICARE: LISA DOGGETT MD, MPH

MEDICARE:   LISA  DOGGETT  MD, MPH
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
1207Q00000XFamily Medicine PhysicianL4909TX

General Provider Information

NPI Number : 1982611026
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA DOGGETT MD, MPH
Provider Business Mailing Address
First Line : 2909 N I H 35
Second Line :
City : AUSTIN
State : TX
Zip : 78722-2304
Country : US
Telephone Number : 512-478-4939
Fax Number :
Provider Business Practice Location Address
First Line : 2909 N I H 35
Second Line :
City : AUSTIN
State : TX
Zip : 78722-2304
Country : US
Telephone Number : 512-478-4939
Fax Number : 512-708-1835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/08/2007

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Directions to “ LISA DOGGETT MD, MPH” Practice Location

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