Healthcare Provider Details

I. General information

NPI: 1932211414
Provider Name (Legal Business Name): LORNA K EHRENFRIED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 MED TECH PKWY STE 100
JOHNSON CITY TN
37604-2365
US

IV. Provider business mailing address

701 MED TECH PKWY STE 100
JOHNSON CITY TN
37604-2365
US

V. Phone/Fax

Practice location:
  • Phone: 423-283-7302
  • Fax:
Mailing address:
  • Phone: 423-283-7302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD0000034445
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD0000034445
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: