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MR. JOHN LYNWOOD HERRINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1141 W BADDOUR PKWY, LEBANON, TN 37087-2571
(615) 256-1064
Mailing address
PO BOX 207, MEMPHIS, TN 38101-0207
(813) 287-5718

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
5959A
KY
367500000X
Certified Registered Nurse Anesthetist
9239
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN61163
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000605613
ANTHEM
01
12224782
PHCS MULTIPLAN
05
1505005
TN
05
3606175
TN
01
4219800
BLUE CROSS/BLUE SHIELD
TN
01
P00744318
RAILROAD MEDICARE
TN
Enumeration date
03/10/2006
Last updated
02/02/2011
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