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NPI Code Detail

MEDICARE: LANCE CHARLIE REUBEN

MEDICARE: LANCE CHARLIE REUBEN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner10029681OR
2363LP0808XPsychiatric/Mental Health Nurse Practitioner11033698FL
3363LP0808XPsychiatric/Mental Health Nurse Practitioner36574TN

General Provider Information

NPI Number : 1811752595
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANCE CHARLIE REUBEN
Provider Business Mailing Address
First Line : 645 DIVISION ST APT 207
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-4981
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7575 COCKRILL BEND BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1056
Country : US
Telephone Number : 615-350-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2024
Last Update Date : 03/18/2025

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Directions to “ LANCE CHARLIE REUBEN ” Practice Location

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