Individual
DR. LUCY LAN BRUIJN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
4095 AMERICAN WAY, SUITE 1, MEMPHIS, TN 38118-8339
(901) 275-9500
(865) 342-0120
Mailing address
4095 AMERICAN WAY, SUITE 1, MEMPHIS, TN 38118-8339
(901) 275-9500
(865) 342-0120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD42205
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD42205
TN MEDICAL LICENSE
TN
Enumeration date
10/11/2006
Last updated
09/06/2016
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