Dr LISA S. KELLOGG is a female medical professional, specializing in Family Medicine. She graduated in 2003 from Ohio State University College Of Homeopathic Medicine.
PORTLAND PRIMARY CARE, LLC
1720 NASHVILLE PIKE A
GALLATIN
TN
370663154
Tel: 6152308601
Npi | 1720034127 |
Pac Id | 5698870145 |
Professional Enrollment Id | I20070412000147 |
Last Name | KELLOGG |
First Name | LISA |
Middle Name | S. |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OHIO STATE UNIVERSITY COLLEGE OF HOMEOPATHIC MEDICINE |
Graduation Year | 2003 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | PORTLAND PRIMARY CARE, LLC |
Group Practice Pac Id | 6305859851 |
Number Of Group Practice Members | 8 |
Line 1 Street Address | 1720 NASHVILLE PIKE A |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | GALLATIN |
State | TN |
Zip Code | 370663154 |
Phone Number | 6152308601 |
Hospital Affiliation Ccn 1 | 440194 |
Hospital Affiliation Lbn 1 | TRISTAR HENDERSONVILLE MEDICAL CENTER |
Hospital Affiliation Ccn 2 | 440003 |
Hospital Affiliation Lbn 2 | SUMNER REGIONAL MEDICAL CENTER |
Hospital Affiliation Ccn 3 | 440006 |
Hospital Affiliation Lbn 3 | TRISTAR SKYLINE MEDICAL CENTER |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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