Individual
LUCAS TYLER PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
340 N CEDAR AVE, COOKEVILLE, TN 38501-2421
(931) 783-5353
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4428
TN
363AM0700X
Medical Physician Assistant
4428
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q063825
—
TN
Enumeration date
01/21/2021
Last updated
10/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us