Organization
LPB GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISA PORTER BRANSCOMB PH D (OWNER, CEO)
(615) 962-7237
Entity
Organization
Contact information
Practice address
209 CASTLEWOOD DR STE D, MURFREESBORO, TN 37129-5163
(615) 962-7237
Mailing address
209 CASTLEWOOD DR STE D, MURFREESBORO, TN 37129-5163
(615) 962-7237
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P2794
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000979162F
—
GA
Enumeration date
03/20/2009
Last updated
03/20/2009
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