MEDICARE: LAJWANTI HANDA CHOPRA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	RN0000071677	TN

General Provider Information

NPI Number	:	1316755952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAJWANTI HANDA CHOPRA

Provider Business Mailing Address
First Line	:	2046 DOGWOOD GARDEN DR
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38139-6924
Country	:	US
Telephone Number	:	901-218-7346
Fax Number	:

Provider Business Practice Location Address
First Line	:	2046 DOGWOOD GARDEN DR
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38139-6924
Country	:	US
Telephone Number	:	901-218-7346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	12/30/2024

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