Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD024491 | TN |
NPI | 1033172267 |
---|---|
Provider Name | Dr. Lisa Ann Lowery-Smith |
First Address | Chattanooga, TN 37421-7304 |
Second Address | Chattanooga, TN 37403-2103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R56729 | (02) | TN |