Provider Demographics
NPI:1083148647
Name:LISA MORRIS, DC
Entity Type:Organization
Organization Name:LISA MORRIS, DC
Other - Org Name:FAMILY CHIROPRACTIC OF CHATTANOOGA
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-355-5437
Mailing Address - Street 1:6347 E BRAINERD RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3977
Mailing Address - Country:US
Mailing Address - Phone:423-355-5437
Mailing Address - Fax:423-803-1542
Practice Address - Street 1:6347 E BRAINERD RD STE B
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3977
Practice Address - Country:US
Practice Address - Phone:423-355-5437
Practice Address - Fax:423-803-1542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty