Individual
TOMIKA LISENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 DOVER RD, CLARKSVILLE, TN 37042-4155
(931) 378-3625
Mailing address
2491 RAFIKI DR, CLARKSVILLE, TN 37042-8138
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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