Individual
MR. LOUIS J. VESCOVO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
5485 POPLAR AVE, MEMPHIS, TN 38119-3705
(800) 393-7185
Mailing address
2564 BARTLETT BLVD, BARTLETT, TN 38134-5408
(901) 373-3871
(901) 377-1026
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000041540
TN
Other
Enumeration date
08/16/2006
Last updated
10/26/2015
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