# LANA S. BEAVERS, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144465279
- **Authorized official:** DR. LANA SHARON BEAVERS M.D. (SINGLE MEMBER LLC)
- **Authorized official phone:** (931) 684-8469

## Contact information

- **Practice address:** 885 UNION ST, SUITE A, SHELBYVILLE, TN 37160-2607
- **Practice address phone:** (931) 684-8469
- **Practice address fax:** (931) 684-8472
- **Mailing address:** 885 UNION ST, SUITE A, SHELBYVILLE, TN 37160-2607
- **Mailing address phone:** (931) 684-8469
- **Mailing address fax:** (931) 684-8472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000008506 | TN | Yes |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 12/03/2008