Ely, Lisa M

Ely, Lisa M is an individual health care provider with primary practice located at 3315 Guthrie Hwy , Clarksville TN 37040-5507. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ely, Lisa M can be contacted via phone (931) 647-3208.

Contact Information

Primary practice address
3315 Guthrie Hwy Clarksville TN 37040-5507
Phone: (931) 647-3208
Fax: (931) 552-8732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2386 Tennessee

Profile Details

NPI number 1396793576
LBN Legal business name Ely, Lisa M
Credentials O.D.08
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 14th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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