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Organization
MEDICAL CLINIC OF LEWISBURG LLC
Active
Organization
MEDICAL CLINIC OF LEWISBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS A SHONE III (MANAGER)
(931) 675-9032
Entity
Organization
Contact information
Practice address
122 E COMMERCE ST, LEWISBURG, TN 37091-3340
(931) 675-9032
Mailing address
PO BOX 2425, LEWISBURG, TN 37091-1425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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