Lu Ponce MD PC

NPI #1518137579 in Portland, Tennessee

Provider Information

NPI Number: 1518137579
Entity Type: Organization
Organization Name: Lu Ponce MD PC
Primary Specialty: General Practice
Enumeration Date: Mar 6, 2008
Last Updated: Mar 6, 2008

Practice Location

Address: 102 W KNIGHT ST
City: Portland
State: Tennessee
ZIP Code: 37148-1415
Phone: (615) 325-2821

Authorized Official

Name: DR. LU PONCE, MD
Title: OWNER
Phone: (615) 325-2821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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