| Doctor Name: | LISA R NEWMAN |
| NPI Number: | 1043205776 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 00023595 |
| Business Practice Address: | 2701 Moody Parkway Moody, AL - 35004 |
| Business Phone Number: | 2056401100 |
| Business Fax Number: | 2056404189 |
| Mailing Address: | 2701 Moody Parkway, MOODY |
| State: | AL |
| Postal Code: | 35004 |
| Phone Number: | 2056401100 |
| Fax Number: | 2056404189 |
| NPI Enumeration Date: | 09/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 00023595 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |