Individual
MS. LAUREN W. CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8000
(865) 539-8008
Mailing address
PO BOX 634760, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11255
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4100226
BLUE CROSS
TN
Enumeration date
06/26/2006
Last updated
11/19/2007
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