NPI 1003170754
Lisa W Green, CRNA
Practice location
- Address
- 1009 Lark St Suite 2, Johnson City, TN 37604-8217
- Phone
- (423) 283-0776
- Fax
- (423) 283-0549
- Mailing address
- PO Box 3727, Johnson City, TN 37602-3727
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1003170754
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jun 2012
- Record last updated
- 16 May 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.