Provider Demographics
NPI:1780713289
Name:MAYS, LISA ROBIN (BS)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ROBIN
Last Name:MAYS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MRS
Other - First Name:LISA
Other - Middle Name:ROBIN
Other - Last Name:MAYS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS
Mailing Address - Street 1:111 RED OAK TRL
Mailing Address - Street 2:
Mailing Address - City:ESTILL SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37330-5427
Mailing Address - Country:US
Mailing Address - Phone:931-649-3036
Mailing Address - Fax:
Practice Address - Street 1:416 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ESTILL SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37330-4037
Practice Address - Country:US
Practice Address - Phone:931-649-3408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator