Doctor Name: | LISA K MEDLIN |
NPI Number: | 1073587283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 077078 |
Business Practice Address: | 50 Skyline Lane Parsons, TN - 38363 |
Business Phone Number: | 7318476373 |
Business Fax Number: | 7318476579 |
Mailing Address: | 50 Skyline Lane, PARSONS |
State: | TN |
Postal Code: | 38363 |
Phone Number: | 7318476373 |
Fax Number: | 7318476579 |
NPI Enumeration Date: | 02/14/2006 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 077078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |