| Lu Ponce Md Pc | |
|
102 W Knight St Portland TN 37148-1415 | |
| (615) 325-2821 | |
| (615) 325-9742 |
| Full Name | Lu Ponce Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 102 W Knight St, Portland, Tennessee |
| Authorized Official Name and Position | Lu Ponce (OWNER) |
| Authorized Official Contact | 6153252821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lu Ponce Md Pc 102 W Knight St Portland TN 37148-1415 Ph: (615) 325-2821 | Lu Ponce Md Pc 102 W Knight St Portland TN 37148-1415 Ph: (615) 325-2821 |
| NPI Number | 1518137579 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518137579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 7332 (Tennessee) | Primary |
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