| Doctor Name: | LISA LUANNE POWERS |
| NPI Number: | 1043539646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | RN208590 |
| Business Practice Address: | 1825 Martha Berry Blvd Nw Rome, GA - 301651625 |
| Business Phone Number: | 7062955331 |
| Business Fax Number: | 7062366360 |
| Mailing Address: | 1825 Martha Berry Blvd Nw, ROME |
| State: | GA |
| Postal Code: | 301651625 |
| Phone Number: | 7062955331 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2010 |
| NPI Last Update Date: | 05/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN208590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |