Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 181588 | GA |
Y | 363LN0000X | Nurse Practitioner - Neonatal | APN0000013773 | TN |
NPI | 1215138326 |
---|---|
Provider Name | Lane Douglass Beaumont |
First Address | Nashville, TN 37221-1418 |
Second Address | Nashville, TN 37203-0004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 04/05/2021 |