Individual
IRINA LAVRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2480 HWY 72 N, LOUDON, TN 37774
(865) 458-1183
(865) 458-7920
Mailing address
2480 HWY 72 N, LOUDON, TN 37774
(865) 458-1183
(865) 458-7920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT193196
PA
Other
Enumeration date
06/16/2008
Last updated
11/16/2011
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