MEDICARE: DR. LAWRENCE BRETT BABAT MD

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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	36419	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4041994	OTHER	TN	BCBS OF TN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4041994	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1619978822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE BRETT BABAT MD

Provider Business Mailing Address
First Line	:	PO BOX 210127
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-0127
Country	:	US
Telephone Number	:	615-986-1256
Fax Number	:	615-383-0856

Provider Business Practice Location Address
First Line	:	2400 PATTERSON ST
Second Line	:	SUITE 319
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1562
Country	:	US
Telephone Number	:	615-986-1256
Fax Number	:	615-383-0853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	12/16/2016

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