Individual
LISA MCCUTCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4465 NARROW LANE RD, MONTGOMERY, AL 36116-2953
(334) 284-7700
Mailing address
PO BOX 242848, MONTGOMERY, AL 36124-2848
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-077836
AL
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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