Lisa C Crowder

NPI #1093062309 in Mountain City, Tennessee

Provider Information

NPI Number: 1093062309
Entity Type: Individual
Name: Lisa C Crowder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 7, 2012
Last Updated: Aug 7, 2012

Practice Location

Address: 463 HARBIN DR
City: Mountain City
State: Tennessee
ZIP Code: 37683-6047
Phone: (423) 727-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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