Individual
MRS. LAUREN ELAINE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 BARDWOOD LN, HIXSON, TN 37343-4714
(423) 883-4719
Mailing address
415 BARDWOOD LN, HIXSON, TN 37343-4714
(423) 883-4719
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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