| Lawrenceburg Neurology, Pc | |
|
190 Prosser Rd Lawrenceburg TN 38464-4233 | |
| (931) 766-3139 | |
| (931) 766-3511 |
| Full Name | Lawrenceburg Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 190 Prosser Rd, Lawrenceburg, Tennessee |
| Authorized Official Name and Position | Alexander J Smirnoff (OWNER) |
| Authorized Official Contact | 9317663139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrenceburg Neurology, Pc Po Box 753 Lawrenceburg TN 38464-0753 Ph: (931) 766-3139 | Lawrenceburg Neurology, Pc 190 Prosser Rd Lawrenceburg TN 38464-4233 Ph: (931) 766-3139 |
| NPI Number | 1164510160 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164510160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 36126 (Tennessee) | Primary |
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