# LEBANON HEALTH CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lebanon Pain Management Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902905573
- **Authorized official:** TYROMA DENISE HENDRIX DC (OWNER DOCTOR)
- **Authorized official phone:** (615) 504-9735

## Contact information

- **Practice address:** 307 F WEST MAIN ST, LEBANON, TN 37087
- **Practice address phone:** (615) 449-4151
- **Practice address fax:** (615) 449-1994
- **Mailing address:** 307 F WEST MAIN ST, PO BOX 3322, LEBANON, TN 37087
- **Mailing address phone:** (615) 449-4151
- **Mailing address fax:** (615) 449-1994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1874DC | TN | — |
| 207Q00000X | Family Medicine Physician | 7162 | TN | Yes |
| 363A00000X | Physician Assistant | 1192PA | TN | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 09/30/2008