Healthcare Provider Details

I. General information

NPI: 1952624041
Provider Name (Legal Business Name): LENDERMON SPORTS MEDICINE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9950 CROOKED CREEK DRIVE
COLLIERVILLE TN
38017
US

IV. Provider business mailing address

9950 CROOKED CREEK RD
COLLIERVILLE TN
38017-0881
US

V. Phone/Fax

Practice location:
  • Phone: 901-850-5756
  • Fax: 901-850-5911
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAURA LENDERMON
Title or Position: CEO
Credential:
Phone: 901-850-5756