Individual
LISA R PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
803 JOY ST, PARIS, TN 38242-4529
(731) 642-4025
(731) 644-0711
Mailing address
799 PINEVIEW DR, SPRINGVILLE, TN 38256-4516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
74430
TN
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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