Newsome, Lisa T

Newsome, Lisa T is an individual health care provider with primary practice located at 1300 Western Blvd , Raleigh NC 27606-2148. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Anesthesiology, Dental Providers / Dentist Anesthesiologist. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Newsome, Lisa T can be contacted via phone (919) 832-3432.

Contact Information

Primary practice address
1300 Western Blvd Raleigh NC 27606-2148
Phone: (919) 832-3432
Fax: (919) 832-3305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9401068 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036167627 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9401068 North Carolina
Dental Providers / Dentist Anesthesiologist 1223D0004X 9401068 North Carolina

Profile Details

NPI number 1447235304
LBN Legal business name Newsome, Lisa T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 9th, 2024 - about 2 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 1447235304 NPPES
North Carolina MEDICAID 8982439

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