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Individual

LANCE MOREHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9303 PARK WEST BLVD, STE 100, KNOXVILLE, TN 37923-4322
(865) 690-6451
Mailing address
1225 E WEISGARBER RD, STE 200N, KNOXVILLE, TN 37909-2604
(865) 584-4747

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09653
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110136884
RR MEDICARE PIN
TN
05
3168055
TN
Enumeration date
06/20/2006
Last updated
05/09/2008
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