Individual
LAUREE DANIELLE CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9430 PARK WEST BLVD STE 130, KNOXVILLE, TN 37923-4205
(865) 690-4861
(865) 560-8525
Mailing address
363 W MAIN ST, LEWISVILLE, TX 75057-3867
(972) 436-4434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1150
TN
363AM0700X
Medical Physician Assistant
1150
TN
363AS0400X
Surgical Physician Assistant
1150
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509729
—
TN
01
—
P00691294
RR MEDICARE
—
Enumeration date
10/23/2008
Last updated
07/01/2021
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