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

Lisa Myers Sullivan, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1497976617

Lisa Myers Sullivan, MD is an Anatomic Pathology & Clinical Pathology Physician in Jackson, Mississippi. Licensed in Mississippi and Virginia. Registered with an NPI since 2007.

Licensed in
MS, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 23387 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116017500 (VA)

Record details

NPI number1497976617
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESNovember 11, 2015

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