ERIC LISIC

COOKEVILLE, TN
NPI1356632152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TN  2669)
Enumeration Date2011-04-27
Last Update Date2022-05-26
Business Address
ERIC LISIC DO
128 N WHITNEY AVE
COOKEVILLE, TN 38501-2493
Phone number: 931-783-5848
Mailing Address
ERIC LISIC DO
140 W 7TH ST
COOKEVILLE, TN 38501-1726
Phone number: 931-783-5582