Individual
DR. LAUREN TUCKER CHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4095 AMERICAN WAY, SUITE 1, MEMPHIS, TN 38118-8339
(901) 271-9500
(901) 271-9501
Mailing address
1612 FORREST AVE, MEMPHIS, TN 38112-4925
(901) 481-5787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518519
—
TN
Enumeration date
07/10/2007
Last updated
03/14/2016
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