Organization
LEBANON HEALTH CARE CENTER
Active
Other names
Lebanon Pain Management Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TYROMA DENISE HENDRIX DC (OWNER DOCTOR)
(615) 504-9735
Entity
Organization
Contact information
Practice address
307 F WEST MAIN ST, LEBANON, TN 37087
(615) 449-4151
(615) 449-1994
Mailing address
307 F WEST MAIN ST, PO BOX 3322, LEBANON, TN 37087
(615) 449-4151
(615) 449-1994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1874DC
TN
207Q00000X
Family Medicine Physician
Primary
7162
TN
363A00000X
Physician Assistant
1192PA
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P4110444
BCBS
TN
Enumeration date
09/21/2006
Last updated
09/30/2008
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