LISA RENAE DOUGLAS MHPP
NPI 1639281959
Genetic Counselor, MS in Fayetteville, AR

Q: What is Lisa Douglas's NPI number?

The NPI number for Lisa Douglas is 1639281959. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Lisa Renae Lundeen Mhpp.

Q: What is Lisa Douglas's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Douglas was last updated on July 8, 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.

Active since August 31, 2006

12 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 750-2020(479) 872-2441 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lisa Renae Douglas Mhpp NPPES

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

LISA RENAE DOUGLAS MHPP (NPI 1639281959) is an individual genetic counselor, ms provider in Fayetteville, Arkansas and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1639281959

Entity TypeIndividualFemale

Primary Taxonomy170300000X

Provider Legal NameLISA RENAE DOUGLASCredential: MHPP

Location Address12 W SUNBRIDGE DRFayetteville, AR 72703-1822

Mailing AddressPo Box 6430Springdale, AR 72766-6430 · (479) 750-2020 · Fax (479) 872-2441

Phone(479) 750-2020

Fax(479) 872-2441

Sole ProprietorYes

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639281959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGenetic Counselor, MSOther Service Providers

Taxonomy Code170300000X

Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.

12 W SUNBRIDGE DR, Fayetteville, AR 72703

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Other Names 1

Former Name (1)Lisa Renae Lundeen Mhpp

Other Providers at the Same Location NPPES 8

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

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