Organization · Type 2 NPI
Indian Lake Medical Weight Loss & Wellness, PLLC
Primary Care Clinic/Center · Hendersonville, TN
NPI number
1073846697
Active
Practice location
133 Indian Lake Rd, Suite 204
Hendersonville, TN 37075-3883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 12512 (TN) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1073846697
Indian Lake Medical Weight Loss & Wellness, PLLC's National Provider Identifier is 1073846697, issued on Sep 14, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hendersonville, TN. The record was last updated on Sep 14, 2009.