Individual
CHRISTINA LEQUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
260 16TH AVE, UNIT 138, DAYTON, TN 37321-1071
(423) 567-5003
(423) 428-9018
Mailing address
131 SAUNDERSVILLE RD, SUITE 160, HENDERSONVILLE, TN 37075-8903
(423) 567-5003
(423) 790-7136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004870
GA
363A00000X
Physician Assistant
Primary
PA0000001269
TN
Other
Enumeration date
07/03/2006
Last updated
07/12/2016
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