Individual
LAUREN CALLON RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 MED TECH PKWY, JOHNSON CITY, TN 37604-4004
(734) 764-4190
Mailing address
PO BOX 5820, JOHNSON CITY, TN 37602-5820
(423) 929-2111
(423) 929-0497
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301117032
MI
207W00000X
Ophthalmology Physician
Primary
61002
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
61002
TN
Other
Enumeration date
04/01/2015
Last updated
01/03/2025
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