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NPI Code Detail

MEDICARE: LAUREN NICOLE SWEET MD

MEDICARE: LAUREN NICOLE SWEET MD
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
1207Q00000XFamily Medicine Physician59543TN

General Provider Information

NPI Number : 1609226216
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN NICOLE SWEET MD
Provider Business Mailing Address
First Line : P O BOX 1000 DEPT 978
Second Line :
City : MEMPHIS
State : TN
Zip : 38148-0001
Country : US
Telephone Number : 901-367-9001
Fax Number : 901-565-8787
Provider Business Practice Location Address
First Line : 3725 CHAMPION HILLS DR STE 2000
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-0502
Country : US
Telephone Number : 901-367-9001
Fax Number : 901-565-8787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2016
Last Update Date : 07/16/2019

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Directions to “ LAUREN NICOLE SWEET MD” Practice Location

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