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LEBANON GENERAL PRACTICE INC NPI 1659496040


NPI Information

NPI: 1659496040
Provider Name: LEBANON GENERAL PRACTICE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D1085150

Address:
228 W MAIN ST STE B
LEBANON, TN
ZIP 37087
Phone: (615) 784-4621
Get Directions

LEBANON GENERAL PRACTICE INC is a family medicine in Lebanon, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LEBANON GENERAL PRACTICE INC NPI is 1659496040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

228 W MAIN ST STE B
LEBANON, TN
ZIP 37087-681
Phone: (615) 784-4621
Fax: (615) 784-4623

The provider's authorized official is Dawn Johnson .
The authorized official title is Medical Billing and has the following contact phone number (615) 784-4621.

The CLIA number assigned to this NPI record is 44D1085150 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 3/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13832478MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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