Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Mechelle Ethridge

Individual provider Specialist · NPI 1700776911

Lisa Mechelle Ethridge is a Specialist in Lisman, Alabama. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 1
Lisman, AL 36912-0001
Phone: (205) 457-3069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1700776911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025