Provider Demographics
NPI:1710163290
Name:HART-PATTON, LISA L (MD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:L
Last Name:HART-PATTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:632 MORRISON SPRINGS RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-3402
Mailing Address - Country:US
Mailing Address - Phone:423-778-3329
Mailing Address - Fax:423-778-3551
Practice Address - Street 1:632 MORRISON SPRINGS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-3402
Practice Address - Country:US
Practice Address - Phone:423-778-3329
Practice Address - Fax:423-778-3551
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2024-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN44779207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine