Healthcare Provider Details

I. General information

NPI: 1750687646
Provider Name (Legal Business Name): LUCINDA FAYE SEAVER RT (R),RDMS,RDCS,RVT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2011
Last Update Date: 09/05/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 RAILROAD RD
WESTPOINT TN
38486-5309
US

IV. Provider business mailing address

80 RAILROAD RD
WESTPOINT TN
38486-5309
US

V. Phone/Fax

Practice location:
  • Phone: 931-212-2137
  • Fax: 931-853-4243
Mailing address:
  • Phone: 931-212-2137
  • Fax: 931-853-4243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License NumberMDX000003533
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License NumberMDX0000003533
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: