Lake Spine Consultants LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

43046 Issued in TN

Legal business name

LAKE SPINE CONSULTANTS LLC

Practice address

353 New Shackle Island Rd
Suite 141C
Hendersonville, TN 37075-2379

Phone

(214) 378-4656

NPI assigned

Aug 5, 2016

Organization subpart

No

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

Authorized official

Name

Hollie Seago

Title

RCM

Phone

(214) 378-4656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1982158176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674074",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674074",
            "telephone_number": "214-378-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 141C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "214-378-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SPINE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "SEAGO",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "214-378-4656"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TN",
            "license": "43046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Lacefield, MS, CCC-SLP
• Beth Lackey, DC
• Billy Winnard Lafever Jr., D.D.S
• Matyas Christopher Lafleur
• Grace Caroline Lagrange, OD
• Lakeside Smiles PLLC
• Lakevue Plastic & Reconstructive Surgery PLLC
• Urvashi Lal, DDS
• Melissa Lynn Lambert, PA-C
• Christina Wordney Lambright

• Orthopaedic Surgery of the Spine Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Orthopaedic Surgery of the Spine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.