Individual
LISA FASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5570 SHAKESPEARE DR APT 206, MEMPHIS, TN 38125-0872
(901) 331-7509
Mailing address
5570 SHAKESPEARE DR APT 206, MEMPHIS, TN 38125-0872
(901) 331-7509
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
083216204
TN
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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