Individual
LISA H DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
904 N CHANCERY ST, MCMINNVILLE, TN 37110-1503
(931) 473-3833
Mailing address
904 N CHANCERY ST, MCMINNVILLE, TN 37110-1503
(931) 473-3833
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
185
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3075665
BLUE CROSS
TN
05
—
3192384
—
TN
01
—
4186249
BCBS OF TENNESSEE
—
Enumeration date
08/15/2005
Last updated
03/17/2018
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