| Lynda J Freeland, Md, Pllc | |
|
5210 Poplar Ave Memphis TN 38119-3515 | |
| (901) 761-0685 | |
| (901) 761-0688 |
| Full Name | Lynda J Freeland, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5210 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Patricia Mcknatt (PRACTICE MANAGER) |
| Authorized Official Contact | 9016343545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynda J Freeland, Md, Pllc 5210 Poplar Ave Memphis TN 38119-3515 Ph: (901) 761-0685 | Lynda J Freeland, Md, Pllc 5210 Poplar Ave Memphis TN 38119-3515 Ph: (901) 761-0685 |
| NPI Number | 1891157624 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Medicare PECOS PAC ID | 2769780329 |
|---|---|
| Medicare Enrollment ID | O20160414001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891157624 | NPI | - | NPPES |
| LJ84 | Other | TN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD014822 (Tennessee) | Primary |
| Provider Name | Lynda J Freeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720072994 PECOS PAC ID: 0749384501 Enrollment ID: I20101012001318 |
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