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Individual

CASSANDRA P LOUCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 558-4400
(865) 558-4421
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2870
TN
363AS0400X
Surgical Physician Assistant
2870
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6053141
BCBS PHYSICIAN ASSISTANT NUMBER (PA)
TN
01
6056189
BCBS PAAS PHYSICIAN ASST AT SURGERY
TN
Enumeration date
10/15/2015
Last updated
01/14/2026
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