Dr Lupo Tanjuakio Carlota Jr, MD - Psychiatry & Neurology in Lakeland, TN

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Dr Lupo Tanjuakio Carlota Jr, MD is a Psychiatry & Neurology - Psychiatry physician based in Lakeland, Tennessee. Dr Lupo Tanjuakio Carlota Jr is licensed to practice in Tennessee (license number MD0000012972) and his current practice location is 9749 Green Spruce Dr, Lakeland, Tennessee. He can be reached at his office (for appointments etc.) via phone at (901) 821-8595.

NPI number for Dr Lupo Tanjuakio Carlota Jr is 1235176041 and his current mailing address is 9749 Green Spruce Dr, Lakeland, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235176041.

Contact Information

Dr Lupo Tanjuakio Carlota Jr, MD
9749 Green Spruce Dr,
Lakeland, TN 38002-9341
(901) 821-8595
Not Available

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Physician's Profile

Full NameDr Lupo Tanjuakio Carlota Jr
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location9749 Green Spruce Dr, Lakeland, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235176041
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 08/05/2021

Medical Identifiers

Medical identifiers for Dr Lupo Tanjuakio Carlota Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235176041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD0000012972 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lupo Tanjuakio Carlota Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lupo Tanjuakio Carlota Jr, MD
9749 Green Spruce Dr,
Lakeland, TN 38002-9341

Ph: (901) 828-4795		Dr Lupo Tanjuakio Carlota Jr, MD
9749 Green Spruce Dr,
Lakeland, TN 38002-9341

Ph: (901) 821-8595

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Psychiatry & Neurology Doctors in Lakeland, TN


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