Provider Demographics
NPI:1144337668
Name:JOINES, LISA KAREN (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:KAREN
Last Name:JOINES
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 1:1900 MAIN AVE SW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-7200
Mailing Address - Country:US
Mailing Address - Phone:256-734-3759
Mailing Address - Fax:256-734-9764
Practice Address - Street 1:1900 MAIN AVE SW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-7200
Practice Address - Country:US
Practice Address - Phone:256-734-3759
Practice Address - Fax:256-734-9764
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00023029208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH08954Medicare UPIN