Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Marie Prather Rollison, DO

Individual provider Surgery Physician · NPI 1417111337

Lisa Marie Prather Rollison, DO is a General Surgery in Columbia, Missouri. Qualified in 2006, 20 years ago. Practices with Boone Physician Services LLC, a 240-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
20
Licensed in
MO
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1601 E Broadway Ste 240
Columbia, MO 65201-8022
Phone: (573) 815-8145
Fax: (573) 815-3832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 E Sigler Ave, Memphis, MO 63555-1726 — (660) 465-2828

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2011014242 (MO)

Record details

NPI number1417111337
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 10, 2008
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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