Individual
LAURENTIA NODIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1924 ALCOA HWY, UT HOSPITAL, KNOXVILLE, TN 37920-1511
(865) 305-9080
Mailing address
PO BOX 52450, KNOXVILLE, TN 37950-2450
(865) 305-9080
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD0000040729
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD0000040729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516608
—
TN
05
—
33386101
—
TN
01
—
4129292
BCBS
TN
05
—
7100040300
—
KY
Enumeration date
03/22/2006
Last updated
09/01/2010
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