Lisa A. Didion
M.D. | Pediatrics | Female
Lisa A. Didion, M.D. is a Jackson, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lisa A. Didion is
2500 N State St, Jackson, Mississippi - 39216-4500. She can be contacted on phone at
601-815-8049.
Lisa A. Didion is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa A. Didion is
1619186541 which was assigned by NPPES on 21 May, 2007 and it was last updated on 21 Jul, 2022.
Lisa A. Didion license number is
21717 for Pediatrics (208000000X) in Mississippi.
Lisa A. Didion is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lisa A. Didion basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lisa A. Didion |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Lisa A. Didion address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-815-8049 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619186541 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 May, 2007 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa A. Didion are as mentioned. Primary taxonomy code for Lisa A. Didion, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | R-7505 | IA |
| 208000000X | Pediatrics | No | 37785 | IA |
| 2080A0000X | Pediatrics Adolescent Medicine | No | 37785 | IA |
| 2080A0000X | Pediatrics Adolescent Medicine | No | 062331 | GA |
| 208000000X | Pediatrics | Yes | 21717 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Lisa A. Didion such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 570427586A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-815-8049 |
|---|
Business Location:
Patients can refer following map for directions to
Lisa A. Didion practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.