Individual
DR. LUIS IVAN PORTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 PADGETT CT, FRANKLIN, TN 37067-7265
(615) 627-7737
Mailing address
212 PADGETT CT, FRANKLIN, TN 37067-7265
(615) 627-7737
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD36686
TN
Other
Enumeration date
07/06/2006
Last updated
03/07/2023
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