Individual provider · Type 1 NPI

Lisa Dianne Dove

Medical Physician Assistant · Birmingham, AL

NPI number 1720155476 Active

Practice location

619 19th St S, P 915
Birmingham, AL 35233-1900

Call (205) 975-0512 Map

Fax (205) 975-6404

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA491 (AL)
Medical Physician Assistant Primary 363AM0700X491 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1720155476

Lisa Dianne Dove's National Provider Identifier is 1720155476, issued on Nov 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Birmingham, AL. The record was last updated on May 1, 2013.