Individual
MRS. LISA ANN BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 HIGH ST, HUNTINGDON, TN 38344-1703
(731) 986-1900
Mailing address
850 GANN RD, BRADFORD, TN 38316-8727
(731) 487-2245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000177467
TN
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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