Provider Demographics
NPI:1710209077
Name:LS OF NASHVILLE,PC
Entity type:Organization
Organization Name:LS OF NASHVILLE,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF HR AND ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-259-1962
Mailing Address - Street 1:6363 POPLAR AVE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4831
Mailing Address - Country:US
Mailing Address - Phone:901-259-1962
Mailing Address - Fax:901-259-1959
Practice Address - Street 1:105 WESTWOOD PL
Practice Address - Street 2:SUITE 350
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5038
Practice Address - Country:US
Practice Address - Phone:615-371-3000
Practice Address - Fax:615-371-3089
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE PREVENTION GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-26
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1457436321174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty