Lhcg Clxii, LLC

NPI #1023620739 in Cordova, Tennessee

Provider Information

NPI Number: 1023620739
Entity Type: Organization
Organization Name: Lhcg Clxii, LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Aug 24, 2020
Last Updated: Jul 3, 2024

Practice Location

Address: 8000 CENTERVIEW PKWY STE 405
City: Cordova
State: Tennessee
ZIP Code: 38018-4227
Phone: (901) 343-8100

Authorized Official

Name: JOSHUA L PROFFITT
Title: PRESIDENT
Phone: (337) 233-1307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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