Organization
THE LEARNING LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT ELKINS (DIRECTOR)
(615) 377-2929
Entity
Organization
Contact information
Practice address
2 MARYLAND FARMS, SUITE 110, BRENTWOOD, TN 37027-5007
(615) 377-2929
Mailing address
2 MARYLAND FARMS, SUITE 110, BRENTWOOD, TN 37027-5007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4074559
BCBS PROVIDER NUMBER
TN
Enumeration date
05/08/2007
Last updated
08/22/2020
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