Individual
LISA MICHELLE WASHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1114 FAIRGROUNDS CT, KINGSTON, TN 37763-2657
(865) 466-9336
Mailing address
1114 FAIRGROUNDS CT, KINGSTON, TN 37763-2657
(865) 466-9336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
49157
TN
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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