Individual
LISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 W ANDREW JOHNSON HWY STE 110, MORRISTOWN, TN 37814-3298
(423) 254-0547
Mailing address
5155 CRYSTAL BROOK DR, MORRISTOWN, TN 37814-1598
(847) 361-3400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1199
TN
Other
Enumeration date
06/28/2020
Last updated
12/16/2022
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