LISA W GREEN

JOHNSON CITY, TN
NPI1003170754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  APN0000016679)
Enumeration Date2012-06-27
Last Update Date2014-05-16
Business Address
-- LISA W GREEN CRNA
1009 LARK ST SUITE 2
JOHNSON CITY, TN 37604-8217
Phone number: 423-283-0776
Mailing Address
-- LISA W GREEN CRNA
PO BOX 3727
JOHNSON CITY, TN 37602-3727
Phone number: 423-283-0776
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