Individual
LANCE DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 6TH AVE N, NASHVILLE, TN 37208-2650
(615) 460-4100
Mailing address
206 DINWIDDIE DR, MADISON, TN 37115-2460
(901) 490-5276
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
TN
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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