Lisa Bazemore Rivera, MD

Neurology Physician · Duluth, GA

Individual Active NPI

NPI number 1730332131

Practice location

3650 Steve Reynolds Blvd
Kaiser Permanente Gwinnett Medical Center
Duluth, GA 30096-4506
Phone
(205) 934-4794

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NPI record

NPI
1730332131
Entity type
Individual (Type 1)
Enumeration date
October 29, 2008
Last updated
January 10, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Neurology Physician Primary 2084N0400X 068548 GA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

3495 Piedmont Rd NE
Nine Piedmont Center
Atlanta, GA 30305-1717
Phone
(404) 364-7070

About Dr. Rivera

Lisa Bazemore Rivera, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Neurology Physician (code 2084N0400X). The practice location is 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506. The NPI number 1730332131 was assigned on October 29, 2008 and the record was last updated on January 10, 2022.

Dr. Rivera lists a license in the registry: #068548 (GA) for Neurology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa Bazemore Rivera, MD?

The NPI number is 1730332131.

What is the phone number of Dr. Rivera?

The phone number listed for the practice location is (205) 934-4794.

Where is Dr. Rivera located?

3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506.

What is the taxonomy code for Dr. Rivera?

The primary taxonomy code is 2084N0400X – Neurology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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