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Organization
LEBONHEUR EAST SURGERY CENTER II LP
Active
Organization
LEBONHEUR EAST SURGERY CENTER II LP
Active
Other names
LeBonheur East Surgery Center LP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRYE B CRONE RN (ADMINISTRATOR)
(901) 516-1716
Entity
Organization
Contact information
Practice address
786 ESTATE PLACE, MEMPHIS, TN 38120
(901) 287-4100
(901) 516-1755
Mailing address
786 ESTATE PLACE, MEMPHIS, TN 38120
(901) 287-4100
(901) 516-1755
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000042
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117229
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
09/19/2008
Last updated
02/01/2012
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