Healthcare Provider Details

I. General information

NPI: 1922164169
Provider Name (Legal Business Name): ANDREW J LAMAY D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2006
Last Update Date: 06/26/2020
Certification Date: 06/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1272 GARRISON DR
MURFREESBORO TN
37129-2598
US

IV. Provider business mailing address

1272 GARRISON DR
MURFREESBORO TN
37129-2598
US

V. Phone/Fax

Practice location:
  • Phone: 615-867-8170
  • Fax: 615-867-8081
Mailing address:
  • Phone: 615-867-8170
  • Fax: 615-867-8081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberDPM405
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: