SearchMississippiStudent in an Organized Health Care Education/Training Program

Lisa Deptula, PA, MD

NPI 1184052508 · on the registry since 2013

Practice

Address
7601 Southcrest Pkwy
Southaven, MS 38671
Phone
(662) 772-3607
Organisation at this address
West Clinic, Pc
Cunningham Physical Medicine
Baptist Memorial Hospital Desoto
Baptist Memorial Hospital- Desoto
Greenbrook Physician Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
154

Additional practice sites

  • 2144 4th St Ste A, San Rafael, CA
  • 203 Winston Dr, Marshall, MI

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Physician Assistant
Physician Assistant
Licence states on file
CA, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi