Lake Med, Pllc
NPI #1356111728 in Winchester, Tennessee
Provider Information
- NPI Number
- 1356111728
- Entity Type
- Organization
- Organization Name
- Lake Med, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 5, 2024
- Last Updated
- Jan 5, 2024
Practice Location
- Address
- 615 RIVER WATCH WAY
- City
- Winchester
- State
- Tennessee
- ZIP Code
- 37398-3506
- Phone
- (931) 998-2915
Authorized Official
- Name
- AMY LYNN RICHARDSON, NP-C
- Title
- NURSE PRACTITIONER/OWNER
- Phone
- (931) 998-2915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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