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Contact Information

LISA K HUMPHRIES, MD
619 19TH ST S
BIRMINGHAM, AL35249-1438
 Phone: 205-934-4011
 Fax: 205-297-9411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LISA K HUMPHRIES · (Female)

NPI Number 1669826525
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2016
Last updated 06/29/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 39257
  • AL License # MD.39257
Hospital affiliation(s)
  • COOSA VALLEY MEDICAL CENTER - (Acute Care)
    315 W HICKORY ST
    SYLACAUGA, AL 35150
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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