Individual
MS. LAUREN KAY POLVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, CDE
Contact information
Practice address
1130 MIDDLE CREEK RD, SUITE 260, SEVIERVILLE, TN 37862
(865) 428-7586
(865) 428-8671
Mailing address
1130 MIDDLE CREEK RD, SUITE 260, SEVIERVILLE, TN 37862
(865) 428-7586
(865) 428-8671
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00034700
NJ
363AM0700X
Medical Physician Assistant
Primary
PA0000001981
TN
Other
Enumeration date
02/26/2007
Last updated
02/03/2015
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