Lisa C Everidge

NPI #1154645216 in Hazard, Kentucky

Provider Information

NPI Number: 1154645216
Entity Type: Individual
Name: Lisa C Everidge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Mar 18, 2010
Last Updated: Mar 18, 2010

Practice Location

Address: 115 ROCKWOOD LN
City: Hazard
State: Kentucky
ZIP Code: 41701-9415
Phone: (606) 436-5761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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