Provider Demographics
NPI:1992786040
Name:SESSIONS, LISA K (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:K
Last Name:SESSIONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 W PENNSYLVANIA AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-1999
Mailing Address - Country:US
Mailing Address - Phone:406-563-8500
Mailing Address - Fax:406-563-8565
Practice Address - Street 1:401 S ALABAMA ST STE 6A
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701
Practice Address - Country:US
Practice Address - Phone:406-782-2329
Practice Address - Fax:406-782-0289
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT8404207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1992786040OtherNPI
G76372Medicare UPIN
MT010001701Medicare ID - Type Unspecified