Laura N. Lendermon
Family Doctor - Sports Medicine
9950 Crooked Creek Drive
Collierville
, Tennessee 38017
Laura N. Lendermon
Family Doctor - Sports Medicine
9950 Crooked Creek Drive
Collierville
, Tennessee 38017
(901) 756-5564
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Laura N. Lendermon
- Po Box 770929
- Memphis, TN
- Zip : 38177
- Fax : (901) 756-5564
- Phone : (901) 756-5565
Second Address
- Laura N. Lendermon
- 9950 Crooked Creek Drive
- Collierville, TN
- Zip : 38017
- Fax : (901) 850-5911
- Phone : (901) 850-5756
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 29507 | TN |
National Provider Identifier
| NPI | 1053326876 |
|---|---|
| Provider Name | Laura N. Lendermon |
| First Address | Memphis, TN 38177 |
| Second Address | Collierville, TN 38017 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2006 |
| Last Update Date | 22/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010066266 | RAIL ROAD MEDICARE (01) | |
| 09828049 | (05) | MS |
| 3857889 | (05) | TN |
| 4047417 | BCBS (01) | TN |
| 557272 | VESTICA (01) | |
| G82257 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.