Individual provider · Type 1 NPI
Lisa Carlette Mitchell, MD
Military Health Care Provider · Jbsa Lackland, TX
NPI number
1982673604
Active
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 041900 (GA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1982673604
Lisa Carlette Mitchell, MD's National Provider Identifier is 1982673604, issued on Mar 15, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jul 23, 2020.