Organization
EARL DWAYNE LETT, PC
Active
Other names
The Lett Center
Organization subpart
No
Provider details
NPI number
Authorized official
EARL DWAYNE LETT M.D. (OWNER/M.D.)
(615) 443-0901
Entity
Organization
Contact information
Practice address
1417 W BADDOUR PKWY, SUITE B, LEBANON, TN 37087-2513
(615) 443-0901
(615) 443-0310
Mailing address
1417 W BADDOUR PKWY, SUITE B, LEBANON, TN 37087-2513
(615) 443-0901
(615) 443-0310
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25738
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3803222
—
TN
Enumeration date
07/24/2008
Last updated
11/15/2011
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