Individual
LISA ANN BOGOSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1930 ALCOA HWY STE 145, KNOXVILLE, TN 37920-1546
(865) 305-6650
Mailing address
9000 EXECUTIVE PARK DR STE C200, KNOXVILLE, TN 37923-4644
(865) 670-6700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235050
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
37485
TN
Other
Enumeration date
03/08/2023
Last updated
10/24/2024
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