Individual provider · NPI-1

Dr. Lisa B Bazzett-Matabele, MD

Obstetrics & Gynecology, Gynecologic Oncology · Little Rock, AR

NPI number1972560845
StatusActive
Last updated in NPPESJun 19, 2025

Details

NPI
1972560845
Entity type
Individual (NPI-1)
Name
Dr. Lisa B Bazzett-Matabele
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 26, 2006
Certification date
Jun 19, 2025
Last updated
Jun 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0201X Obstetrics & Gynecology, Gynecologic OncologyE-19391ARYes
207V00000X Obstetrics & GynecologyMD.13700RLA
207V00000X Obstetrics & GynecologyE-19391AR

Other names

  • Liza B Bazzett (Former Name)

Practice location

4301 W Markham St # 793
Little Rock, AR 72205-7101

Phone 501-686-8000 · Fax 501-526-5148

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101

Phone 501-686-8000 · Fax 501-526-5148

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Obstetrics & Gynecology, Gynecologic Oncology providers in Little Rock, AR