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Individual

MICHAEL BLAINE LENHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
228 WEST 4TH ST, SUITE 200, COOKEVILLE, TN 38501
(931) 372-0405
(931) 372-0463
Mailing address
228 WEST 4TH ST, SUITE 200, COOKEVILLE, TN 38501-2489
(931) 372-0405
(931) 372-0463

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101044023
VA
207RC0000X
Cardiovascular Disease Physician
MD26635
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3091395
TN
01
4288920
BCBS
TN
05
64929425
KY
Enumeration date
08/22/2006
Last updated
12/30/2022
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