| The Estate Of P. Laray Rector | |
|
553 W Commerce St Lewisburg TN 37091 | |
| (931) 359-1900 | |
| (931) 359-9774 |
| Full Name | The Estate Of P. Laray Rector |
|---|---|
| Speciality | Dentist |
| Location | 553 W Commerce St, Lewisburg, Tennessee |
| Authorized Official Name and Position | Debbie G Crosslin (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 9313591900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Estate Of P. Laray Rector 553 W Commerce St Lewisburg TN 37091-3219 Ph: (931) 359-1900 | The Estate Of P. Laray Rector 553 W Commerce St Lewisburg TN 37091 Ph: (931) 359-1900 |
| NPI Number | 1396142485 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396142485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4499 (Tennessee) | Primary |
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