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Lebanon Hma, LLC

Internal Medicine, Cardiovascular Disease in Lebanon, TN. Organization (NPI-2).

NPI number1063774552
StatusActive
Last updated in NPPESJun 12, 2012

Details

NPI
1063774552
Entity type
Organization (NPI-2)
Legal business name
Lebanon Hma, LLC
Organization subpart
No
Enumeration date
Jun 12, 2012
Last updated
Jun 12, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease––Yes

Other names

  • University Medical Center (Doing Business As)

Practice location

1411 W Baddour Pkwy
Lebanon, TN 37087-2513

Phone 615-443-2500

Mailing address

Po Box 781299
Sebastian, FL 32978-1299

Phone 772-581-6226 · Fax 772-581-5771

Authorized official

John Barrett
Billing Manager
7725816226

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