Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 55684 | TN |
N | 207VX0201X | Gynecologic Oncologist | Q3772 | TX |
NPI | 1205060381 |
---|---|
Provider Name | Dr. Lauren Shore Prescott |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2009 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
346344001 | (05) | TX |