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1053519207
LISA RENEE RADER
GERMANTOWN, TN
NPI
1053519207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TN APN0000019900)
Enumeration Date
2007-07-10
Last Update Date
2016-10-04
Business Address
Mrs. LISA RENEE RADER C.N.P.
7945 WOLF RIVER BLVD
GERMANTOWN, TN 38138-1762
Phone number: 901-683-0055
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Mailing Address
Mrs. LISA RENEE RADER C.N.P.
7714 POPLAR AVE STE 200 ATTN: CREDENTIALING
GERMANTOWN, TN 38138-3941
Phone number: 901-322-9080
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