Individual
LISA ANN WITHROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 6TH AVE S, STE 201, BIRMINGHAM, AL 35233-2110
(205) 934-9638
(205) 975-7797
Mailing address
2000 6TH AVE S, STE 201, BIRMINGHAM, AL 35233-2110
(205) 934-9638
(205) 975-7797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27167
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023025913
—
AL
01
—
510-41731
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
08/02/2006
Last updated
02/10/2014
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