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Individual

ETHELDREDA LANCASTER COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
42 E PARKWAY N, MEMPHIS, TN 38104-3039
(901) 365-1800
Mailing address
42 E PARKWAY N, MEMPHIS, TN 38104-3039

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200400317
NC
207R00000X
Internal Medicine Physician
Primary
26038
TN
207R00000X
Internal Medicine Physician
4301093879
MI

Other

Enumeration date
06/03/2007
Last updated
01/31/2012
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