Individual
LINDSEY DIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2399 MCGRADY DR SE, CLEVELAND, TN 37323-7147
(423) 559-9094
Mailing address
2399 MCGRADY DR SE, CLEVELAND, TN 37323-7147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04261991
—
NE
Enumeration date
08/13/2020
Last updated
05/11/2026
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