Individual
LAVANYA TAMMAREDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
401 S MOUNT JULIET RD, SPACE 367, MOUNT JULIET, TN 37122-6359
(615) 758-0874
Mailing address
401 S MOUNT JULIET RD, SPACE 367, MOUNT JULIET, TN 37122-6359
(615) 758-0874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2701
TN
Other
Enumeration date
11/29/2006
Last updated
08/26/2013
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