Organization
TENNESSEE UROLOGY ASSOCIATES, PLLC
Active
Other names
Tennessee Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LAUTERBACH (CREDENTIALING)
(443) 738-2889
Entity
Organization
Contact information
Practice address
9245 PARK WEST BLVD, KNOXVILLE, TN 37923-4425
(865) 276-2764
(865) 694-7621
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(866) 953-3111
(443) 471-8540
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
12/17/2020
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