Earl Dwayne Lett, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25738 Issued in TN

Legal business name

EARL DWAYNE LETT, PC

Practice address

1417 W Baddour Pkwy
Suite B
Lebanon, TN 37087-2513

Phone

(615) 443-0901

Fax

(615) 443-0310

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Earl Dwayne Lett, M.D.

Title

Owner/M.D.

Phone

(615) 443-0901

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Lett Center Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Anne Jeffery, NP

  • Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1245521848
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1285899666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 W BADDOUR PKWY",
            "address_2": "SUITE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-443-0901",
            "fax_number": "615-443-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W BADDOUR PKWY",
            "address_2": "SUITE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-443-0901",
            "fax_number": "615-443-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL DWAYNE LETT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "LETT",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "615-443-0901",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "25738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3803222",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lett Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda J Durham, DPH
• Robert Michael Durocher, OD
• Kellye Dykes, CRNA
• Dynamic Therapy Center, LLC
• Kelsey Lynn Eakes
• Mary Rachel East, SLP-CCC
• Ec Lebanon Operations, LLC
• Derrick Edwards, LPC-MHSP
• Kennedy Ellen Eidenire, PMHNP
• Robert Chaffee Elam

• Plastic Surgery Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.