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Organization

LUNCEFORD PRIMARY CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY KATHRYN LUNCEFORD-LEVESQUE PA-C (OWNER)
(615) 878-1533
Entity
Organization

Contact information

Practice address
4777 ANDREW JACKSON PKWY STE 101, HERMITAGE, TN 37076-1356
(615) 889-7010
(615) 889-0135
Mailing address
4777 ANDREW JACKSON PKWY STE 101, HERMITAGE, TN 37076-1356
(615) 889-7010
(615) 889-0135

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
01/28/2025
Last updated
01/28/2025
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