Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA MECHELLE ETHRIDGE
Active Sole ProprietorLISA MECHELLE ETHRIDGE is a Specialist healthcare provider located in LISMAN, Alabama. NPI 1700776911 is currently active in the NPPES registry. Verify at CMS.
Specialist · LISMAN, AL
Registration Details
- NPI Number
- 1700776911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2025 (1.1238265801077 yrs)
- Last Updated
- Jul 8, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
PO BOX 1LISMAN, AL, 369120001Browse AL providers · Browse ZIP 36912
- Phone
- 2054573069
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.