Individual
LAUREN DEAN MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1636 E MAIN ST, HUMBOLDT, TN 38343-2904
(731) 784-7833
Mailing address
1636 E MAIN ST, HUMBOLDT, TN 38343-2904
(731) 784-7833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26575
MS
208000000X
Pediatrics Physician
Primary
5635
TN
Other
Enumeration date
04/06/2016
Last updated
08/26/2024
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