EIDETTE LAMERA LISONDRA MD
NPI 1952153744
Student in an Organized Health Care Education/Training Program in Athens, GA

Active since April 04, 2024
1270 PRINCE AVE STE 102, ATHENS, GA 30606(706) 475-7055 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eidette Lamera Lisondra Md NPPES

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

EIDETTE LAMERA LISONDRA MD (NPI 1952153744) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1952153744
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEIDETTE LAMERA LISONDRACredential: MD
Location Address1270 PRINCE AVE STE 102Athens, GA 30606-2700
Mailing Address1270 Prince Ave Ste 102Athens, GA 30606-2700 · (706) 475-7055
Sole ProprietorNo
Enumeration DateApril 4, 2024
NPPES CertifiedApril 4, 2024
NPI 1952153744 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.
1270 PRINCE AVE STE 102, Athens, GA 30606

Other Providers at the Same Location NPPES 19

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

Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE STE 102
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE STE 102
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE STE 102
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE STE 102
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE STE 102
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE STE 102
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE STE 102
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1270 PRINCE AVE STE 102
ATHENS, GA 30606

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 Eidette Lisondra's NPI number?

The NPI number for Eidette Lisondra is 1952153744. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Eidette Lisondra located?

Eidette Lisondra practices at 1270 Prince Ave Ste 102, Athens, GA 30606. The listed phone number is (706) 475-7055.

What is Eidette Lisondra's specialty?

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

When was this NPI record last updated?

The NPPES record for Eidette Lisondra was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.