Lisa Marie Lundy (NPI# 1891011235, PAC ID# 5193853653) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891011235 |
| PAC ID by PECOS | 5193853653 |
| Professional Enrollment ID | I20100505000115 |
| Full Name | Lisa Marie Lundy |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Address |
1754 Us Hwy 23 N Weber City VA 24290-7071 |
| Phone Number | 2763865980 |
| Gender | F |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224935754 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1754 Us Hwy 23 N, Weber City, VA 24290-7071 | 2763865980 | HOLSTON MEDICAL GROUP PC |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Physicians | 239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Axelrad | Family Medicine | Holston Medical Group PC | 4848 Fort Henry Dr, Kingsport, TN 37663-3347 |
| Jeffrey Richard Many | Family Medicine | Holston Medical Group PC | 275 N Nc 16 Business Hwy, Suite 103, Denver, NC 28037-3008 |
| Connie Rutledge | Nurse Practitioner | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Brandi N Adams | Obstetrics/gynecology | Holston Medical Group PC | 10826 Mallard Creek Rd, Suite 200, Charlotte, NC 28262-9725 |
| Kevin Wess | Family Medicine | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Shannon M Butler | Nurse Practitioner | Holston Medical Group PC | 9611 Sherrill Estates Rd, Suite B, Huntersville, NC 28078-6485 |
| Julie M Wentz | Family Medicine | Holston Medical Group PC | 9816 Sam Furr Rd, Suite 101, Huntersville, NC 28078-5042 |
| Kenyon L Draper | Nurse Practitioner | Holston Medical Group PC | 3500 Mount Holly Huntersville Rd, Suite B, Charlotte, NC 28216-8644 |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Jennifer Shafer | Family Medicine | Holston Medical Group PC | 2033 Meadowview Ln, Suite 200, Kingsport, TN 37660-7432 |
| Street Address |
1754 US HWY 23 N |
| City | WEBER CITY |
| State | VA |
| Zip | 24290-7071 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie Rutledge | Nurse Practitioner | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Bryan T Arnette | Family Medicine | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Fatemeh Yamani | Family Medicine | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Travis Shupe | Physical Therapy | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clinton A Musil Jr. | Psychiatry | Frontier Health | 1006 Us Hwy 23 N, Weber City, VA 24290-7021 |
| John F Ellis Jr. | Chiropractic | 2368 Us 23, Suite 102, Weber City, VA 24290-7025 | |
| Anna Deal | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 377 Clonce St, Weber City, VA 24290-7269 |
| City | WEBER CITY |
| Zip Code | 24290 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEBER CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa Marie Lundy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.