Individual
LAWRIE NICHOLSON TREAKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2100 W. CLINCH AVE STE 120, KNOXVILLE, TN 37916-2219
(865) 637-7290
(865) 637-7289
Mailing address
2100 W. CLINCH AVE STE 120, KNOXVILLE, TN 37916-2219
(865) 637-7290
(865) 637-7289
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
146011
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000012083
ADVANCED PRACTICE NURSE
SD
Enumeration date
10/06/2006
Last updated
02/23/2010
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