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

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X041900 (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.