Lawrenceburg Neurology, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

36126 Issued in TN

Legal business name

LAWRENCEBURG NEUROLOGY, PC

Practice address

190 Prosser Rd
Lawrenceburg, TN 38464-4233

Phone

(931) 766-3139

Fax

(931) 766-3511

NPI assigned

Oct 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexander J Smirnoff, MD

Title

Owner

Phone

(931) 766-3139

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164510160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384640753",
            "telephone_number": "931-766-3139",
            "fax_number": "931-766-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PROSSER RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644233",
            "telephone_number": "931-766-3139",
            "fax_number": "931-766-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEBURG NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMIRNOFF",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-766-3139",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "36126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence County Senior Citizens Club Inc
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• Lawrenceburg Neurology Associates PC
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• Lawrenceburg Orthopaedics and Sports Medicine Institute PC
• Lawrenceburg Orthopaedics, PC
• Lawrenceburg Physical Therapy, LLC
• Lawrenceburg Surgical Care, PLLC

• Neurology Physician in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.