Individual
MR. MARK GORDON LINGERFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH
Contact information
Practice address
9025 HIGHWAY 64, LAKELAND, TN 38002-8448
(901) 371-0411
(901) 383-4808
Mailing address
9025 HIGHWAY 64, LAKELAND, TN 38002-8448
(901) 383-2265
(901) 386-8476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4390
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
4390
TN
Other
Enumeration date
11/02/2010
Last updated
02/21/2020
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