Individual
ADRIAN KEDWARD LAMBALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 25TH AVENUE NORTH, STE. 602, NASHVILLE, TN 37203
(615) 312-0600
(615) 320-3259
Mailing address
210 25TH AVENUE NORTH, STE. 602, NASHVILLE, TN 37203
(615) 312-0600
(615) 320-3259
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD15166
TN
2085R0202X
Diagnostic Radiology Physician
Primary
15166
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516894
—
TN
01
—
300060763
RAILROAD
—
01
—
4280105
BLUE CROSS
TN
Enumeration date
06/10/2006
Last updated
03/07/2011
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