The Estate of P. Laray Rector

NPI #1396142485 in Lewisburg, Tennessee

Provider Information

NPI Number: 1396142485
Entity Type: Organization
Organization Name: The Estate of P. Laray Rector
Primary Specialty: Dentist
Enumeration Date: Dec 4, 2014
Last Updated: Dec 4, 2014

Practice Location

Address: 553 W COMMERCE ST
City: Lewisburg
State: Tennessee
ZIP Code: 37091
Phone: (931) 359-1900

Authorized Official

Name: DEBBIE G CROSSLIN
Title: ADMINISTRATIVE ASSISTANT
Phone: (931) 359-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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