Individual
COURTNEY LASHON SUBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
501 RIVERCHASE BLVD, MADISON, TN 37115-2035
(757) 373-7079
Mailing address
501 RIVERCHASE BLVD, MADISON, TN 37115-2035
(757) 373-7079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0001265487
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0001265487
VA
Other
Enumeration date
08/19/2021
Last updated
10/09/2023
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