Individual
MICHAEL JOHN LACOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-4430
(423) 698-3622
Mailing address
601 DODDS AVE, CHATTANOOGA, TN 37404-3911
(423) 495-4430
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43765
TN
2085R0204X
Vascular & Interventional Radiology Physician
43765
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507021
—
TN
Enumeration date
05/03/2007
Last updated
01/26/2010
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