Individual
DR. LISA FARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7030 LEE HWY STE 201, CHATTANOOGA, TN 37421-6795
(610) 207-0900
(888) 563-1169
Mailing address
3813 WINDTREE DR, SIGNAL MOUNTAIN, TN 37377-1271
(901) 619-9001
(888) 563-1169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0000015841
TN
207Q00000X
Family Medicine Physician
C6492
AR
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD446896
PA
Other
Enumeration date
08/18/2008
Last updated
09/26/2019
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