Lisa Ann Goodman, CRNP
Registered Nurse, General Practice in Montgomery, AL. Individual provider (NPI-1).
NPI number1952712374
StatusActive
Last updated in NPPESMay 20, 2014
Details
- NPI
- 1952712374
- Entity type
- Individual (NPI-1)
- Name
- Lisa Ann Goodman
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2014
- Last updated
- May 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 1-066578 | AL | Yes |
Other names
- Lisa Ann Medlin (Former Name)
Practice location
470 Taylor RdSuite 202
Montgomery, AL 36117-3563
Phone 334-244-6773 · Fax 334-244-4234
Mailing address
301 Brown Springs RdMontgomery, AL 36117-7005
Phone 334-273-4508 · Fax 334-273-4290
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