Individual provider · Type 1 NPI
Lisa Mechelle Ethridge
Specialist · Lisman, AL
NPI number
1700776911
Active
Practice location
PO Box 1
Lisman, AL 36912-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1700776911
Lisa Mechelle Ethridge's National Provider Identifier is 1700776911, issued on Jul 8, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lisman, AL. The record was last updated on Jul 8, 2025.