Individual
LAURA R SPRABERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-7185
(901) 545-6424
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-7302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23696
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071292
—
TN
Enumeration date
04/26/2006
Last updated
12/16/2015
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