Lise LLC

NPI #1013656792 in Woodbury, Tennessee

Provider Information

NPI Number
1013656792
Entity Type
Organization
Organization Name
Lise LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jun 1, 2022
Last Updated
Jun 5, 2022

Practice Location

Address
370 DOOLITTLE RD
ZIP Code
37190-1129
Phone
(877) 743-2646

Authorized Official

Name
SEKOU MOLETTE
Title
PRESIDENT
Phone
(615) 260-8829

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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