Individual
LAUREN NICOLE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
599 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7177
(865) 482-2129
(865) 482-4036
Mailing address
599 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7177
(865) 482-2129
(865) 482-4036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3656
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q038734
—
TN
Enumeration date
08/14/2018
Last updated
05/21/2024
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