MEDICARE: LISA FLOWERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316474109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA FLOWERS

Provider Business Mailing Address
First Line	:	3862 TESSLAND RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38128-2124
Country	:	US
Telephone Number	:	972-880-4470
Fax Number	:	901-618-2925

Provider Business Practice Location Address
First Line	:	3862 TESSLAND RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38128-2124
Country	:	US
Telephone Number	:	972-880-4470
Fax Number	:	901-618-2925

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	05/11/2017

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Directions to “ LISA FLOWERS ” Practice Location

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