person
Mr. Crowell Anthony Lisenby SR.
Psychiatric/Mental Health Nurse Practitioner in Montgomery, Alabama
NPI 1255539904

Crowell Anthony Lisenby SR. is a Psychiatric/Mental Health Nurse Practitioner based in Montgomery, AL and is specialized in Psychiatric/Mental Health. Crowell Anthony Lisenby SR. practices in Montgomery, AL. The NPI Number for Crowell Anthony Lisenby SR. is 1255539904 and holds a License No. 1-044909 (Alabama).

The current practice location address for Crowell Anthony Lisenby SR. is 101 Coliseum Blvd, Montgomery, AL and can be reached out via phone at 334-279-7830 and via fax at 334-270-1647.

Location: 101 Coliseum Blvd, Montgomery, AL, 36116-1935
person
Provider Profile Details
NPI Number
1255539904
Provider Name
Crowell Anthony Lisenby SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Coliseum Blvd, Montgomery, AL, 36116-1935
Phone Number
334-279-7830
Fax Number
334-270-1647
Provider Enumeration Date
07/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Coliseum Blvd
City
State
Zip
36109-2707
Phone Number
334-279-7830
Fax Number
334-270-1647
person
Provider Business Mailing Address Details
Address
101 Coliseum Blvd
City
State
Zip
36109-2707
Phone Number
334-279-7830
Fax Number
334-270-1647
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
1-044909 (Alabama)
Definition
Definition to come...
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