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DR. LISA RENEE CHASTANT M.D. NPI 1144545195


NPI Information

NPI: 1144545195
Provider Name: DR. LISA RENEE CHASTANT, M.D.
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
81 MDOS/SGOMD
301 FISHER ST.
KEESLER AFB, MS
ZIP 39534
Phone: (228) 376-3501
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DR. Lisa Renee Chastant, M.D. is a mohs-micrographic surgery dermatology in Keesler Afb, MS. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Lisa Renee Chastant, M.D. NPI is 1144545195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

81 MDOS/SGOMD
301 FISHER ST.
KEESLER AFB, MS
ZIP 39534-519
Phone: (228) 376-3501
Fax: (228) 376-0060

The NPI 1144545195 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2010 and was last updated on 8/21/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology26245MISSISSIPPINo
22083A0100XPreventive MedicineAerospace MedicineC1-0009800DELAWARENo
3208D00000XGeneral PracticeC1-0009800DELAWARENo
4207ND0101XDermatologyMOHS-Micrographic Surgery26245MISSISSIPPIYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.