Individual
LISA DIANE CARBONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 W LAKESHORE DR STE 100, BIRMINGHAM, AL 35209-7271
(205) 726-2835
(205) 408-9931
Mailing address
1 W LAKESHORE DR STE 100, BIRMINGHAM, AL 35209-7271
(205) 726-2835
(205) 408-9931
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
1-106255
AL
363LF0000X
Family Nurse Practitioner
Primary
1-106255
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830665500
—
AL
Enumeration date
07/18/2022
Last updated
10/17/2025
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