Healthcare Provider Details

I. General information

NPI: 1164471280
Provider Name (Legal Business Name): LAURA T TRUELOVE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 HOTWATER RD
SODDY DAISY TN
37379-5511
US

IV. Provider business mailing address

1507 HOTWATER RD
SODDY DAISY TN
37379-5511
US

V. Phone/Fax

Practice location:
  • Phone: 423-240-9633
  • Fax:
Mailing address:
  • Phone: 423-240-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number29019
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: