Provider Demographics
NPI:1689841744
Name:CARR, ANA LISA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA LISA
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 DOOLITTLE RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:TN
Mailing Address - Zip Code:37190-1139
Mailing Address - Country:US
Mailing Address - Phone:615-563-4001
Mailing Address - Fax:
Practice Address - Street 1:324 DOOLITTLE RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:TN
Practice Address - Zip Code:37190-1139
Practice Address - Country:US
Practice Address - Phone:615-563-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99094515A207Q00000X
COCDR.0000433207Q00000X
SD11641207Q00000X
NE31770207Q00000X
MN65971207Q00000X
IAMD-46464207Q00000X
KS04-42403207Q00000X
NY295893207Q00000X
KY51812207Q00000X
MO2019035173207Q00000X
WI490-320207Q00000X
FLME112147207Q00000X, 208D00000X
TN53623207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice