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Individual

LYNN EBAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7640 WOLF RIVER CIR, 2ND FLOOR, GERMANTOWN, TN 38138-1744
(901) 755-0208
(901) 757-0208
Mailing address
PO BOX 171363, MEMPHIS, TN 38187-1363
(901) 755-0208
(901) 757-0208

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0000021175
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0115172
MS
05
3076527
TN
Enumeration date
10/06/2006
Last updated
07/08/2007
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