Individual
DR. LAURIE ELIZABETH CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1721 PATTERSON ST, NASHVILLE, TN 37203-2925
(615) 329-4790
Mailing address
1721 PATTERSON ST, NASHVILLE, TN 37203-2925
(615) 329-4790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9135
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2009
Last updated
02/29/2012
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