Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 10551 | TN |
Y | 225100000X | Physical Therapist |
NPI | 1245606110 |
---|---|
Provider Name | Lauren Frommert |
First Address | Gallatin, TN 37066-3027 |
Second Address | Gallatin, TN 37066-3027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2015 |
Last Update Date | 18/07/2019 |