Individual
DR. LAUREN ELIZABETH MACGUIRE BOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2623 BROOKE WILLOW BLVD, KNOXVILLE, TN 37932-1894
(865) 335-3035
Mailing address
2623 BROOKE WILLOW BLVD, KNOXVILLE, TN 37932-1894
(865) 335-3035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6003
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3653311
—
TN
01
—
4144774
BLUECROSS BLUESHIELD TN
TN
01
—
CH4394
MEDICARE-RAILROAD GROUP ID
TN
Enumeration date
01/10/2007
Last updated
04/23/2020
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