Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD20306 | TN |
NPI | 1013080183 |
---|---|
Provider Name | Laura L Westbrook |
First Address | Chattanooga, TN 37401-2225 |
Second Address | Chattanooga, TN 37403-2147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 12/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000760845A | (05) | GA |
009709750 | (05) | AL |
050050920 | RAILROAD MEDICARE (01) | TN |
3053702 | (05) | TN |
3062314 | BCBS OF TN (01) | TN |
890546Q | (05) | NC |
E50397 | (02) | TN |
N370659 | WELLCARE (GA MEDICAID) (01) | GA |