Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 57244 | TN |
NPI | 1346530672 |
---|---|
Provider Name | Lyndy J Wilcox |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 15/10/2020 |