Individual
ROBERT P. LONERGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1244 PRIMACY PKWY, MEMPHIS, TN 38119
(901) 767-8662
(901) 767-8666
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
38131
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
38131
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001072832 15
UNITED HEALTHCARE
TN
05
—
07187860
—
MS
05
—
3371161
—
TN
05
—
3889622
—
TN
01
—
4179729
BCBS
TN
01
—
5976219
CIGNA
TN
01
—
620819926
CIGNA
TN
01
—
7239223
AETNA
TN
05
—
9025301
—
MS
01
—
P00618041
RAILROAD MEDICARE
TN
Enumeration date
02/23/2006
Last updated
06/19/2019
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