JEFFREY R LISSE MD NPI 1316973217

NPI Information

NPI: 1316973217
Provider Name: JEFFREY R LISSE, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
535 N. WILMOT
#101
TUCSON, AZ
ZIP 85711
Phone: (520) 874-7400
Get Directions

Jeffrey R Lisse, MD is a rheumatology internal medicine in Tucson, AZ. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Jeffrey R Lisse, MD NPI is 1316973217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

535 N. WILMOT
#101
TUCSON, AZ
ZIP 85711
Phone: (520) 874-7400
Fax: (520) 874-3425

The enumeration date for this NPI number is 6/23/2006 and was last updated on 1/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	28777	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C18463	MEDICARE UPIN
2	Z63916	MEDICARE PIN	ARIZONA
3	536675	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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