Individual
LAQUANYA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S PERIMETER PARK DR STE 100, NASHVILLE, TN 37211-4128
(615) 968-1925
Mailing address
408 PRINCETON DR, LEBANON, TN 37087-2188
(615) 968-1925
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TN
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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