Individual
LAUREN TAYLOR MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
135 FOX AND HOUND WAY, NEWPORT, TN 37821-8074
(423) 532-8105
Mailing address
135 FOX AND HOUND WAY, NEWPORT, TN 37821-8074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
96040
TN
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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