Individual
LISA CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
764 ROYAL WOODS DR W, MOBILE, AL 36608-9220
(251) 367-5621
(251) 633-5865
Mailing address
764 ROYAL WOODS DR W, MOBILE, AL 36608-9220
(251) 367-5621
(251) 633-5865
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
812195
AL
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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