Lakeland Pediatrics Pllc

NPI #1205415858 in Lakeland, Tennessee

Provider Information

NPI Number
1205415858
Entity Type
Organization
Organization Name
Lakeland Pediatrics Pllc
Primary Specialty
Pediatrics
Enumeration Date
Apr 2, 2021
Last Updated
May 8, 2021

Practice Location

Address
9755 HIGHWAY 64
Address 2
SUITE 101
ZIP Code
38002
Phone
(901) 831-8190

Authorized Official

Name
LISA DAWN POWELL, DNP
Title
OWNER, FNP
Phone
(901) 831-8190

Specialties & Taxonomy Codes

Specialty
Pediatrics

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