Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA M WHITEAKER, MD
Active Sole ProprietorLISA M WHITEAKER, MD is a Dermatology healthcare provider located in COOKEVILLE, Tennessee. NPI 1306811427 is currently active in the NPPES registry. Verify at CMS.
Dermatology · COOKEVILLE, TN
Registration Details
- NPI Number
- 1306811427
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2006 (20.5056545673 yrs)
- Last Updated
- Mar 31, 2021
- License
-
MD28108 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1120 PERIMETER PARK DRCOOKEVILLE, TN, 385010922Browse TN providers · Browse ZIP 38501
- Phone
- 9315280002
- Fax
- 9315281515
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in COOKEVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD HAROLD GENTRY | M.D. | 1245297019 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.