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General NPI Number Information
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NPI Number | 1427046622
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Entity Type | Individual
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Provider Name | LISA LAYA MD
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Gender | Female
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 3515 CENTRAL PIKE STE 105
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City | HERMITAGE
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State | TN
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Zip | 37076-2029
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Country | US
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Telephone | 615-889-7751
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Fax | 615-885-6527
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Provider Business Mailing Address
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Address Line | 5653 FRIST BLVD STE 330
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City | HERMITAGE
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State | TN
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Zip | 37076-2064
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Country | US
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Telephone | 615-889-7751
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Fax | 615-885-6527
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 26917
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License Number State | TN
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