Individual
MICHELLE ELISA LAW
Active
Individual
MICHELLE ELISA LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
579029
TN
208M00000X
Hospitalist Physician
579029
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4114980
BLUE CROSS
TN
05
—
7100364230
—
KY
05
—
7100550550
—
KY
05
—
Q036122
—
TN
Enumeration date
04/14/2014
Last updated
09/17/2018
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