Rejane Lisboa MD PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

36145 Issued in TN

Legal business name

REJANE LISBOA MD PLLC

Practice address

393 Wallace Rd
Ste a-400
Nashville, TN 37211-4880

Phone

(615) 333-0330

Fax

(615) 333-9912

NPI assigned

Mar 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rejane Lisboa, MD

Title

Owner and Only Member

Phone

(615) 333-0330

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1225209158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD",
            "address_2": "STE A-400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114880",
            "telephone_number": "615-333-0330",
            "fax_number": "615-333-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD",
            "address_2": "STE A-400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114880",
            "telephone_number": "615-333-0330",
            "fax_number": "615-333-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJANE LISBOA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "LISBOA",
        "authorized_official_first_name": "REJANE",
        "authorized_official_title_or_position": "OWNER AND ONLY MEMBER",
        "authorized_official_telephone_number": "615-333-0330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "36145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.