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1326663477
LALISIA PORTER
MEMPHIS, TN
NPI
1326663477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 27450)
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
LALISIA PORTER
6222 E SHELBY DR
MEMPHIS, TN 38141-7735
Phone number: 901-878-3274
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Mailing Address
LALISIA PORTER
6524 KESWICK CV
MEMPHIS, TN 38119-7608
Phone number:
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