Laconna Marye Whittaker, LPN | |
750 Old Hickory Blvd Bldg 1, Suite 190, Brentwood, TN 37027-4528 | |
(615) 661-7594 | |
Not Available |
Full Name | Laconna Marye Whittaker |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 750 Old Hickory Blvd Bldg 1, Brentwood, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427368570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN0000052463 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Laconna Marye Whittaker, LPN 432 Carl Miller Dr, Antioch, TN 37013-4408 Ph: (615) 750-3880 | Laconna Marye Whittaker, LPN 750 Old Hickory Blvd Bldg 1, Suite 190, Brentwood, TN 37027-4528 Ph: (615) 661-7594 |
Martha Michelle Lawrence, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 115 Eastpark Dr Ste 200, Brentwood, TN 37027 Phone: 615-383-6272 |