Healthcare Provider Details

I. General information

NPI: 1104287903
Provider Name (Legal Business Name): LANCE MORGAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2016
Last Update Date: 03/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 STEWARTS FERRY PIKE
NASHVILLE TN
37214-3325
US

IV. Provider business mailing address

221 STEWARTS FERRY PIKE
NASHVILLE TN
37214-3325
US

V. Phone/Fax

Practice location:
  • Phone: 615-902-7577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number10826
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: