Provider Demographics
NPI:1639388986
Name:UNDERWOOD, LISA R (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:R
Last Name:UNDERWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:653 N TOWN CENTER DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0514
Mailing Address - Country:US
Mailing Address - Phone:702-240-2200
Mailing Address - Fax:702-240-2207
Practice Address - Street 1:653 N TOWN CENTER DR
Practice Address - Street 2:SUITE 500
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0514
Practice Address - Country:US
Practice Address - Phone:702-240-2200
Practice Address - Fax:702-240-2207
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV8039207VH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine