Lea Mary Bannister, MD
Obstetrics & Gynecology in Memphis, TN. Individual provider (NPI-1).
NPI number1922034271
StatusActive
Last updated in NPPESMay 10, 2024
Details
- NPI
- 1922034271
- Entity type
- Individual (NPI-1)
- Name
- Lea Mary Bannister
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2006
- Certification date
- May 10, 2024
- Last updated
- May 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD024990 | TN | Yes |
Practice location
6745 Wolf River Blvd.Memphis, TN 38120
Phone 901-767-8442 · Fax 901-684-6260
Mailing address
8110 N Brother Blvd Ste 200Bartlett, TN 38133-2760
Phone 901-255-5221 · Fax 901-373-4511
Other practice locations
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