Individual
DR. LISA M ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.08
Contact information
Practice address
3315 GUTHRIE HWY, CLARKSVILLE, TN 37040-5507
(931) 647-3208
(931) 552-8732
Mailing address
115 ALEXANDER BLVD, CLARKSVILLE, TN 37040-5145
(931) 647-3208
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2386
TN
Other
Enumeration date
05/04/2006
Last updated
10/14/2014
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