Organization
LEBONHEUR EAST SURGERY CENTER II LP
Active
Other names
LeBonheur East Surgery Center LP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRYE B CRONE RN (ADMINISTRATOR)
(901) 516-1716
Entity
Organization
Contact information
Practice address
786 ESTATE PLACE, MEMPHIS, TN 38120
(901) 287-4100
(901) 516-1755
Mailing address
786 ESTATE PLACE, MEMPHIS, TN 38120
(901) 287-4100
(901) 516-1755
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000042
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117229
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
09/19/2008
Last updated
02/01/2012
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