Individual
LISA ANN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
470 TAYLOR RD, SUITE 202, MONTGOMERY, AL 36117-3563
(334) 244-6773
(334) 244-4234
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 273-4508
(334) 273-4290
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1-066578
AL
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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