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NPI Code Detail

MEDICARE: DR. CHRISTINA L LANNOM DO

MEDICARE: DR. CHRISTINA L LANNOM DO
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
1207R00000XInternal Medicine Physician1509TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700871191
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA L LANNOM DO
Provider Business Mailing Address
First Line : 4321 CAROTHERS PKWY
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-5909
Country : US
Telephone Number : 615-435-6690
Fax Number : 615-435-6692
Provider Business Practice Location Address
First Line : 4321 CAROTHERS PKWY
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-5909
Country : US
Telephone Number : 615-435-6690
Fax Number : 615-435-6692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 06/12/2009

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