Provider Demographics
NPI:1902000565
Name:DOGUET, LISA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:MICHELLE
Last Name:DOGUET
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4444 W MAIN ST
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-1737
Mailing Address - Country:US
Mailing Address - Phone:409-763-2373
Mailing Address - Fax:281-338-2460
Practice Address - Street 1:3250 FANNIN ST
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3903
Practice Address - Country:US
Practice Address - Phone:409-212-7000
Practice Address - Fax:409-212-5975
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2016-09-22
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Provider Licenses
StateLicense IDTaxonomies
TXBP1-00263232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
3853976529OtherMYUTMB 3853976529-COMMERCIAL NUMBER