Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036.143448 | IL |
N | 208600000X | Surgeon | 036.143448 | IL |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 63372 | TN |
NPI | 1013334150 |
---|---|
Provider Name | Lauren Mioton Connor |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-5975 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2014 |
Last Update Date | 20/10/2021 |