Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD13640 | TN |
N | 208600000X | Surgeon | MD13640 | TN |
Y | 2086X0206X | Surgical Oncologist | MD0000013640 | TN |
NPI | 1346320330 |
---|---|
Provider Name | Laura L Dunbar |
First Address | Saint Louis, MO 63150-0001 |
Second Address | Nashville, TN 37203-2238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 16/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1507971 | (05) | TN |
3741577 | CIGNA (01) | |
4082752 | AETNA (01) | |
4189042 | BLUE CROSS BLUE SHIELD (01) | TN |
A97250 | (02) | TN |
A97250 | HEALTHSPRING (01) | TN |