LISA BLAIR COBURN M.D.
NPI 1477764926
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since May 25, 2007Accepts Medicare Assignment
4301 W MARKHAM ST, SLOT # 783, LITTLE ROCK, AR 72205(501) 686-8000 Get Directions Write a Review

NPPES record last updated: August 31, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lisa Blair Coburn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA BLAIR COBURN M.D. (NPI 1477764926) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since May 2007. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1477764926
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLISA BLAIR COBURNCredential: M.D.
Location Address4301 W MARKHAM ST, SLOT # 783Little Rock, AR 72205-7101
Mailing Address13111 W Markham St, Apt # 125Little Rock, AR 72211-3246 · (501) 749-9251
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 25, 2007
Last NPPES UpdateAugust 31, 2007
NPI 1477764926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST, Little Rock, AR 72205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa Blair Coburn M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486175817
PECOS Enrollment IDI20250303000157

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Coburn's NPI number?

The NPI number for Lisa Coburn is 1477764926. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Lisa Coburn located?

Lisa Coburn practices at 4301 W Markham St Slot # 783, Little Rock, AR 72205. The listed phone number is (501) 686-8000.

What is Lisa Coburn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lisa Coburn enrolled in Medicare?

Yes. Lisa Coburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Coburn was last updated on August 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.