Provider Demographics
NPI:1750445649
Name:STORRS, LISA KRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:KRISTINA
Last Name:STORRS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:STORRS
Other - Last Name:KLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:317 SEVEN SPRINGS WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4518
Mailing Address - Country:US
Mailing Address - Phone:615-739-5345
Mailing Address - Fax:615-864-8646
Practice Address - Street 1:317 SEVEN SPRINGS WAY STE 203
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4518
Practice Address - Country:US
Practice Address - Phone:615-739-5345
Practice Address - Fax:615-864-8646
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000049095208000000X
VA0101238618208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics