Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 3748 | TN |
NPI | 1306189857 |
---|---|
Provider Name | Emily Katrine Lenart |
First Address | Memphis, TN 38103-2807 |
Second Address | Memphis, TN 38103-2807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 10/07/2019 |