CROWELL ANTHONY LISENBY

MONTGOMERY, AL
NPI1255539904
Professional NameTONY LISENBY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL  1-044909)
Enumeration Date2007-07-04
Last Update Date2007-07-08
Business Address
Mr. CROWELL ANTHONY LISENBY
101 COLISEUM BLVD
MONTGOMERY, AL 36109-2707
Phone number: 334-279-7830
Mailing Address
Mr. CROWELL ANTHONY LISENBY
3464 S WATER MILL RD
MONTGOMERY, AL 36116-1935
Phone number: 334-277-7617