Individual
LYSSA MAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 TANGLEWOOD LN, HENDERSONVILLE, TN 37075-1479
(813) 295-0126
Mailing address
211 TANGLEWOOD LN, HENDERSONVILLE, TN 37075-1479
(813) 295-0126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000031197
TN
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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