Organization
LAKELAND PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DAWN POWELL DNP (OWNER, FNP)
(901) 831-8190
Entity
Organization
Contact information
Practice address
9755 HIGHWAY 64, SUITE 101, LAKELAND, TN 38002
(901) 831-8190
Mailing address
150 RASPBERRY CV, EADS, TN 38028-3002
(901) 831-8190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
05/08/2021
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