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1356632152
ERIC LISIC
COOKEVILLE, TN
NPI
1356632152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 2669)
Enumeration Date
2011-04-27
Last Update Date
2022-05-26
Business Address
ERIC LISIC DO
128 N WHITNEY AVE
COOKEVILLE, TN 38501-2493
Phone number: 931-783-5848
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Mailing Address
ERIC LISIC DO
140 W 7TH ST
COOKEVILLE, TN 38501-1726
Phone number: 931-783-5582
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