Lake Spine Consultants LLC
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Hendersonville, TN. Organization (NPI-2).
NPI number1982158176
StatusActive
Last updated in NPPESAug 5, 2016
Details
- NPI
- 1982158176
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Spine Consultants LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2016
- Last updated
- Aug 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 43046 | TN | Yes |
Practice location
353 New Shackle Island RdSuite 141c
Hendersonville, TN 37075-2379
Phone 214-378-4656
Mailing address
Po Box 674074Dallas, TX 75267-4074
Phone 214-378-4656
Authorized official
Hollie Seago
Rcm
2143784656
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