Individual
DR. LISA J BEIGHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
216 PHOENIX CT STE B, SEYMOUR, TN 37865-3914
(865) 579-4066
(865) 579-4065
Mailing address
216 PHOENIX CT STE B, SEYMOUR, TN 37865-3914
(865) 579-4066
(865) 579-4065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1967
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4094990
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
01/04/2007
Last updated
07/08/2007
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