Individual
LISA DIANNE HATCH HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
813 E WOOD ST, PARIS, TN 38242-4223
(731) 924-2000
(731) 653-0053
Mailing address
813 E WOOD ST, PARIS, TN 38242-4223
(731) 924-2000
(731) 653-0053
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1170
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530813
—
TN
Enumeration date
01/14/2006
Last updated
07/29/2021
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