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Individual

DR. LINDSEY FUNDERBURK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1823 CROWE LN, NEWPORT, TN 37821-7264
(423) 623-3875
Mailing address
1823 CROWE LN, NEWPORT, TN 37821-7264
(423) 623-3875

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3677
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3677
OPTOMETRY LICENSE NUMBER
TN
Enumeration date
06/17/2021
Last updated
03/07/2023
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