Organization
NORTHWEST TENNESSEE FOOT CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH T LU DPM (OWNER/PRESIDENT)
(731) 287-3130
Entity
Organization
Contact information
Practice address
326 ASBURY AVE, SUITE #102, RIPLEY, TN 38063-5577
(731) 221-2567
(731) 221-2560
Mailing address
600 US HIGHWAY 51 BYP E, DYERSBURG, TN 38024-2040
(731) 287-3130
(731) 287-3818
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0000000658
TN
Other
Enumeration date
01/13/2011
Last updated
03/30/2011
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