Individual
DR. FERNANDO CARDENAS LAGRIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
710 CARL PERKINS PKWY, TIPTONVILLE, TN 38079-1678
(731) 253-6690
(731) 253-6692
Mailing address
1117 CHEROKEE CIR, TIPTONVILLE, TN 38079-1620
(276) 275-9208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101047198
VA
207Q00000X
Family Medicine Physician
Primary
54098
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010238544
—
VA
05
—
Q023518
—
TN
Enumeration date
07/12/2006
Last updated
12/09/2016
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