Healthcare Provider Details

I. General information

NPI: 1033814264
Provider Name (Legal Business Name): LAUREN POLAN-COUILLARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 WALLACE RD
NASHVILLE TN
37211-4851
US

IV. Provider business mailing address

391 WALLACE RD
NASHVILLE TN
37211-4851
US

V. Phone/Fax

Practice location:
  • Phone: 615-781-4605
  • Fax:
Mailing address:
  • Phone: 615-781-4605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number76780
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: