Lisa Whiteaker MD

NPI #1043895659 in Cookeville, Tennessee

Provider Information

NPI Number
1043895659
Entity Type
Organization
Organization Name
Lisa Whiteaker MD
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Mar 15, 2021
Last Updated
Mar 15, 2021

Practice Location

Address
1120 PERIMETER PARK DR
ZIP Code
38501-0922
Phone
(931) 528-0002

Authorized Official

Name
LISA M WHITEAKER, MD
Title
MEDICAL DOCTOR
Phone
(931) 528-0002

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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