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Lake Med, Pllc
Family Nurse Practitioner in Winchester, Tennessee
NPI 1356111728

Lake Med, Pllc is a Family Nurse Practitioner based in Winchester, TN and is specialized in Family. Lake Med, Pllc practices in Winchester, TN. The NPI Number for Lake Med, Pllc is 1356111728 and holds a License No. (Tennessee).

The current practice location address for Lake Med, Pllc is 615 River Watch Way, Winchester, TN and can be reached out via phone at 931-998-2915 and via fax at 931-998-2915.

Location: 615 River Watch Way, Winchester, TN, 37398-3506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356111728
Provider Name
Lake Med, Pllc
Credential
Provider Entity Type
Organization
Address
615 River Watch Way, Winchester, TN, 37398-3506
Phone Number
931-998-2915
Fax Number
931-998-2915
Provider Enumeration Date
01/05/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
615 River Watch Way
City
Winchester
State
Tennessee
Zip
37398-3506
Phone Number
931-998-2915
Fax Number
931-998-2915
person
Provider Business Mailing Address Details
Address
615 River Watch Way
City
Winchester
State
Tennessee
Zip
37398-3506
Phone Number
931-998-2915
Fax Number
931-998-2915
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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