Individual
LISA G CARKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34571
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
45604
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519904
—
TN
Enumeration date
12/02/2005
Last updated
03/26/2015
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