Provider Demographics
NPI:1043270036
Name:TORP, LISA K (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:K
Last Name:TORP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7714 POPLAR AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3941
Mailing Address - Country:US
Mailing Address - Phone:901-683-0055
Mailing Address - Fax:901-922-6722
Practice Address - Street 1:7945 WOLF RIVER BLVD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1762
Practice Address - Country:US
Practice Address - Phone:901-683-0055
Practice Address - Fax:901-685-2969
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2024-04-11
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Provider Licenses
StateLicense IDTaxonomies
TN69899208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ089815Medicaid
PA001511196Medicaid
PAG00340Medicare UPIN
PA001511196Medicaid