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
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