Individual
LAURA M ENOMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1926 ALCOA HWY STE 300, KNOXVILLE, TN 37920-1555
(865) 544-9218
(865) 305-8262
Mailing address
PO BOX 415000-MSC8159, NASHVILLE, TN 37241-8159
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT197293
PA
2086X0206X
Surgical Oncology Physician
Primary
59953
TN
Other
Enumeration date
06/07/2010
Last updated
04/19/2021
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