Whalio Doctors

NPI 1285258913

Lauren Elizabeth Tisdale, MD

Practitioner Dermatology Physician Johnson City, TN

Practice location

Address
2885 Boones Creek Rd, Johnson City, TN 37615-8002
Phone
(423) 928-9014
Mailing address
2300 W Stone Dr, Kingsport, TN 37660-2360

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 71625 (TN)

Registry record

NPI
1285258913
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 May 2020
Record last updated
11 Aug 2024

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.