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General NPI Number Information
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NPI Number | 1750445649
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Entity Type | Individual
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Provider Name | LISA KRISTINA STORRS M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 317 SEVEN SPRINGS WAY STE 203
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City | BRENTWOOD
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State | TN
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Zip | 37027-4518
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Country | US
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Telephone | 615-739-5345
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Fax | 615-864-8646
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Provider Business Mailing Address
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Address Line | 317 SEVEN SPRINGS WAY STE 203
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City | BRENTWOOD
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State | TN
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Zip | 37027-4518
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Country | US
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Telephone | 615-739-5345
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Fax | 615-864-8646
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD0000049095
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101238618
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License Number State | VA
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