MS. Lisa Bazemore Rivera, MD

NPI #1730332131 in Duluth, Georgia

Provider Information

NPI Number: 1730332131
Entity Type: Individual
Name: MS. Lisa Bazemore Rivera, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychiatry & Neurology - Neurology
Credential: MD
Enumeration Date: Oct 29, 2008
Last Updated: Jan 10, 2022

Practice Location

Address: 3650 STEVE REYNOLDS BLVD
Address 2: KAISER PERMANENTE GWINNETT MEDICAL CENTER
City: Duluth
State: Georgia
ZIP Code: 30096-4506
Phone: (205) 934-4794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X	Primary

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