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NPI Code Detail

MEDICARE: VICTOR FRANK LEDOUX ATC

MEDICARE:   VICTOR FRANK LEDOUX  ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer2255A2300XTN

General Provider Information

NPI Number : 1518929884
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR FRANK LEDOUX ATC
Provider Business Mailing Address
First Line : 6504 LAMPE CT
Second Line :
City : HERMITAGE
State : TN
Zip : 37076-3696
Country : US
Telephone Number : 615-883-3723
Fax Number :
Provider Business Practice Location Address
First Line : 1215 21ST AVE S
Second Line : MEDICAL CENTER EAST, SOUTH TOWER
City : NASHVILLE
State : TN
Zip : 37232-0014
Country : US
Telephone Number : 615-343-8662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 07/08/2007

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Directions to “ VICTOR FRANK LEDOUX ATC” Practice Location

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