Provider Information for 1386986727
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Mrs. LISA MAY LPC
Sex: Female
NPI: 1386986727
Last Updated: 2020-08-27
Certification Date: 2020-08-27
Certification Date: 2020-08-27
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386986727 | ||||||||||||
| Enumeration Date | 2013-03-25 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 404 INGRAM INN SEVIERVILLE, TN 37876-0440 United States Phone: 865-599-7004 | Fax: | ||||||||||||
| Primary Practice Address | 1103 DOLLY PARTON PKWY SEVIERVILLE, TN 37862 United States Phone: 865-599-7004 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 201 W SPRINGDALE AVE 404 INGRAM INN | ||||||||||||
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