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Lu Ponce Md Pc
General Practice Physician in Portland, Tennessee
NPI 1518137579

Lu Ponce Md Pc is a General Practice Physician based in Portland, TN. Lu Ponce Md Pc practices in Portland, TN. The NPI Number for Lu Ponce Md Pc is 1518137579 and holds a License No. 7332 (Tennessee).

The current practice location address for Lu Ponce Md Pc is 102 W Knight St, Portland, TN and can be reached out via phone at 615-325-2821 and via fax at 615-325-9742.

Location: 102 W Knight St, Portland, TN, 37148-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518137579
Provider Name
Lu Ponce Md Pc
Credential
Provider Entity Type
Organization
Address
102 W Knight St, Portland, TN, 37148-1415
Phone Number
615-325-2821
Fax Number
615-325-9742
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 W Knight St
City
Portland
State
Tennessee
Zip
37148-1415
Phone Number
615-325-2821
Fax Number
615-325-9742
person
Provider Business Mailing Address Details
Address
102 W Knight St
City
Portland
State
Tennessee
Zip
37148-1415
Phone Number
615-325-2821
Fax Number
615-325-9742
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
7332 (Tennessee)
Definition
Definition to come...
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