Organization · Type 2 NPI
Innovative Vascular, PLLC
Vascular Surgery Physician · Lenoir City, TN
NPI number
1124750765
Active
Practice location
460 Medical Park Dr Ste 104
Lenoir City, TN 37772-5782
Mailing address
1908 Oakleigh Way
Knoxville, TN 37919-8995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
4 other providers at this address
- Anesthesia Services AssociatesDurable Medical Equipment & Medical Supplies Lenoir City, TN NPI 1114479557
- Arthritis Consultants of East Tennessee, PLLCRheumatology Physician Lenoir City, TN NPI 1053959320
- George Michael Lodeiro, MDVascular Surgery Physician Lenoir City, TN NPI 1184150930
- Matthew Sean Scanlon, PA-CPhysician Assistant Lenoir City, TN NPI 1942170378
About NPI 1124750765
Innovative Vascular, PLLC's National Provider Identifier is 1124750765, issued on Jun 30, 2022. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lenoir City, TN. The record was last updated on Sep 26, 2026.