Individual
LAUREN NICOLE WIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 544-9000
Mailing address
1928 ALCOA HWY, KNOXVILLE, TN 37920-1502
(865) 305-8787
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/26/2024
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