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NPI Code Detail

MEDICARE: MS. LOLA SHERNETT WOODARD

MEDICARE: MS. LOLA SHERNETT WOODARD
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
1172V00000XCommunity Health Worker
2172V00000XCommunity Health Worker172V00000XTN

General Provider Information

NPI Number : 1881848349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOLA SHERNETT WOODARD
Provider Business Mailing Address
First Line : 2604 UNION HALL RD
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-8664
Country : US
Telephone Number : 931-503-0941
Fax Number :
Provider Business Practice Location Address
First Line : 118 UNION ST
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-5115
Country : US
Telephone Number : 931-647-8257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2008
Last Update Date : 11/11/2008

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Directions to “ MS. LOLA SHERNETT WOODARD ” Practice Location

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