Provider Demographics
NPI:1437152485
Name:MORGAN, LISA BROOKS (MD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:BROOKS
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 MURPHY AVE STE 407
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1864
Mailing Address - Country:US
Mailing Address - Phone:615-342-6880
Mailing Address - Fax:615-986-5959
Practice Address - Street 1:2201 MURPHY AVE
Practice Address - Street 2:STE 101
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1835
Practice Address - Country:US
Practice Address - Phone:615-340-9530
Practice Address - Fax:615-340-9533
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29109207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG52776Medicare UPIN