Individual
JILL LAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MEDICAL PARK BLVD, SUITE 3800, BRISTOL, TN 37620-7346
(423) 990-2466
(423) 990-2407
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 857-2012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 01437
TN
Other
Enumeration date
01/12/2007
Last updated
02/13/2008
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