Luther Lake Emergency Physicians, Pllc

NPI #1366870032 in Dickson, Tennessee

Provider Information

NPI Number: 1366870032
Entity Type: Organization
Organization Name: Luther Lake Emergency Physicians, Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 16, 2013
Last Updated: Dec 6, 2019

Practice Location

Address: 111 HIGHWAY 70 E
City: Dickson
State: Tennessee
ZIP Code: 37055-2080
Phone: (973) 251-1132

Authorized Official

Name: KATHLEEN KONDAS
Title: OFFICER
Phone: (973) 251-1132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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