Organization
LAWRENCEBURG ORTHOPAEDICS AND SPORTS MEDICINE INSTITUTE PC
Active
Organization
LAWRENCEBURG ORTHOPAEDICS AND SPORTS MEDICINE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LINDSEY FONTENOT M.D. (PRESIDENT)
(931) 766-9996
Entity
Organization
Contact information
Practice address
1323 S LOCUST AVE, LAWRENCEBURG, TN 38464-4040
(931) 766-9996
(931) 766-0955
Mailing address
1323 S LOCUST AVE, LAWRENCEBURG, TN 38464-4040
(931) 766-9996
(931) 766-0955
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
43514
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515083
—
TN
01
—
30014952
MEDICARE
—
Enumeration date
05/20/2008
Last updated
10/20/2009
Update your record
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