LISA STREET

MEMPHIS, TN
NPI1528473444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  APN0000018460)
Enumeration Date2014-06-30
Last Update Date2014-06-30
Business Address
-- LISA STREET NP-C
6005 PARK AVE STE 400
MEMPHIS, TN 38119-5214
Phone number: 901-767-7324
Mailing Address
-- LISA STREET NP-C
703 NEW YORK ST
MEMPHIS, TN 38104-5537
Phone number: 901-237-7599