Individual
LAILA ANNAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 609-8738
Mailing address
24 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 609-8738
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
76854
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
06/21/2026
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