Individual provider · Type 1 NPI
Jan Leslie Crean, MD
Specialist · Tullahoma, TN
NPI number
1790744456
Active
Practice location
603 Lake Way Pl, Suite B
Tullahoma, TN 37388-4740
Fax (931) 461-3091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036135 (TN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1790744456
Jan Leslie Crean, MD's National Provider Identifier is 1790744456, issued on Mar 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tullahoma, TN. The record was last updated on Mar 23, 2010.