Provider Demographics
NPI:1821259888
Name:COX, LISA MORRISON
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MORRISON
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:105 EAST H STREET
Mailing Address - City:ERWIN
Mailing Address - State:NC
Mailing Address - Zip Code:28339-0429
Mailing Address - Country:US
Mailing Address - Phone:910-897-7165
Mailing Address - Fax:
Practice Address - Street 1:105 E H ST
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:NC
Practice Address - Zip Code:28339-2143
Practice Address - Country:US
Practice Address - Phone:910-897-7165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician