Individual
LISA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 867-8040
(615) 893-1769
Mailing address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 867-8040
(615) 893-1769
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45188
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I024911
MEDICARE ID
TN
05
—
1525563
—
TN
Enumeration date
01/04/2007
Last updated
06/26/2020
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