Provider Demographics
NPI:1386618551
Name:DUNCAN, LISA DIANE (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:DIANE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:427 BROADMOOR DR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-6583
Mailing Address - Country:US
Mailing Address - Phone:865-544-9080
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF TN DEPARTMENT OF PATHOLOGY
Practice Address - Street 2:1924 ALCOA HIGHWAY DRAWER U-108
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:865-544-6793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2010-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD34894207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology