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

TaxonomyCodeLicense
Specialist Primary 174400000X036135 (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.

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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.