Individual
DR. LISA L PRIVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
135 S BELLS ST, ALAMO, TN 38001-1779
(731) 696-4004
(731) 696-4009
Mailing address
135 S BELLS ST, ALAMO, TN 38001-1779
(731) 696-4004
(731) 696-4009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T1481
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3598962
—
TN
Enumeration date
05/06/2006
Last updated
02/09/2023
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