Provider Demographics
NPI:1336413004
Name:LAMAR, ELISHA ANN (NP)
Entity type:Individual
Prefix:
First Name:ELISHA
Middle Name:ANN
Last Name:LAMAR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 CARR DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-7358
Mailing Address - Country:US
Mailing Address - Phone:317-371-6336
Mailing Address - Fax:
Practice Address - Street 1:109 WESTPARK DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5063
Practice Address - Country:US
Practice Address - Phone:615-340-6840
Practice Address - Fax:615-600-4804
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000018766363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health