Individual
LISA H BURRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
107 S GREENWOOD ST, SUITE F, LEBANON, TN 37087-6800
(615) 453-2584
Mailing address
107 S GREENWOOD ST, SUITE F, LEBANON, TN 37087-6800
(615) 453-2584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09144654
TN
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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