LISA MYERS SULLIVAN MD
NPI 1497976617
Pathology - Anatomic Pathology & Clinical Pathology in Jackson, MS

Q: What is Lisa Sullivan's NPI number?

The NPI number for Lisa Sullivan is 1497976617. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Lisa Sullivan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Sullivan was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 02, 2007

2500 N STATE ST, JACKSON, MS 39216(601) 984-1530 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lisa Myers Sullivan Md NPPES

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

LISA MYERS SULLIVAN MD (NPI 1497976617) is an individual anatomic pathology & clinical pathology provider in Jackson, Mississippi, licensed in Mississippi (23387) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1497976617

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameLISA MYERS SULLIVANCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 North State StreetJackson, MS 39216-4500 · (601) 815-9824 · Fax (601) 815-0434

Phone(601) 984-1530

Sole ProprietorNo

Enumeration DateMay 2, 2007

Last NPPES UpdateNovember 11, 2015

✔ NPI 1497976617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in MS · 23387

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116017500 (VA)

2500 N STATE ST, Jackson, MS 39216

Open in Google Maps ↗

Other Identifiers 3

Medicaid07704363MS

Medicaid178238AL

Medicare PIN382008YS8TMS

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)