Individual
MRS. LISA CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CS FNP
Contact information
Practice address
420 COLLEGE ST STE A, LAFAYETTE, TN 37083-1751
(615) 688-5383
(888) 972-5790
Mailing address
420 COLLEGE ST STE A, LAFAYETTE, TN 37083-1751
(615) 688-5383
(888) 972-5790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN0000005880
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3902597
—
TN
Enumeration date
11/21/2005
Last updated
12/19/2023
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