Basic Information
| Provider Information | |||||||||
| NPI: | 1396983524 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROMERO | ||||||||
| FirstName: | LIZETH | ||||||||
| MiddleName: | JOVANNA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 979 E 3RD ST | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374032136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237784396 | ||||||||
| FaxNumber: | 4237784397 | ||||||||
| Practice Location | |||||||||
| Address1: | 979 E 3RD ST STE B-805 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374032136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237784396 | ||||||||
| FaxNumber: | 4237784397 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2009 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | C1-0009840 | DE | N | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 207RR0500X | 52323 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.