Tawanna Lisic
NPI #1487789590 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1487789590
- Entity Type
- Individual
- Name
- Tawanna Lisic
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 665 S JEFFERSON AVE
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-4011
- Phone
- (931) 528-0051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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