Lawrenceburg Surgical Care, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

42468 Issued in TN

Legal business name

LAWRENCEBURG SURGICAL CARE, PLLC

Practice address

1321 S Locust Ave
Lawrenceburg, TN 38464-4040

Phone

(931) 762-9993

Fax

(931) 762-9994

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Isabella Flores-Merritt, MD

Title

Ceo

Phone

(931) 762-9993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1326244336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644040",
            "telephone_number": "931-762-9993",
            "fax_number": "931-762-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644040",
            "telephone_number": "931-762-9993",
            "fax_number": "931-762-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEBURG SURGICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "FLORES-MERRITT",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-762-9993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "42468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.