Individual
DEIDRE EARLENE LANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
404 DR. D.B. TODD BLVD JR., NASHVILLE, TN 37203
(615) 327-3801
(615) 329-0694
Mailing address
404 DR. D. B. TODD BLVD JR. BLVD, NASHVILLE, TN 37203
(615) 327-3801
(615) 329-0694
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3044168
—
TN
Enumeration date
12/11/2013
Last updated
12/11/2013
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