Provider Demographics
NPI:1700868304
Name:HOBBS, LISA N (NP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:N
Last Name:HOBBS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1900 RANDOLPH RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1122
Mailing Address - Country:US
Mailing Address - Phone:704-384-9113
Mailing Address - Fax:704-316-0508
Practice Address - Street 1:100 N TRYON ST
Practice Address - Street 2:SUITE 75
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-4000
Practice Address - Country:US
Practice Address - Phone:704-384-7085
Practice Address - Fax:704-384-7089
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC900092207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2599399Medicare ID - Type Unspecified
NCP18747Medicare UPIN