Didion, Lisa A.

Didion, Lisa A. is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Didion, Lisa A. can be contacted via phone (601) 815-8049.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-8049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R-7505 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37785 Iowa
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 37785 Iowa
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 062331 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21717 Mississippi

Profile Details

NPI number 1619186541
LBN Legal business name Didion, Lisa A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619186541 NPPES
Georgia MEDICAID 570427586A

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