Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A146706 | CA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 201801351 | NC |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 62643 | TN |
NPI | 1992068290 |
---|---|
Provider Name | Dr. Craig Ray Louer JR. |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-4232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2012 |
Last Update Date | 03/03/2021 |