Individual
CYNTHIA LEE DECOUTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 DAMRON AVENUE, KNOXVILLE, TN 37917-6413
(865) 215-5320
Mailing address
5850 LAKESHORE DR, TALLASSEE, TN 37878-2412
(865) 215-5320
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
EMT0000010966
TN
164W00000X
Licensed Practical Nurse
LPN0000042368
TN
Other
Enumeration date
05/14/2007
Last updated
09/11/2025
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