LAURIE TRAHAN (NPI# 1053711150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053711150 |
| Entity Type | Individual |
| Full Name | LAURIE TRAHAN |
| Credential | R.T.T. (R)(T) |
| Practice Address |
435 Lone Oak Dr Eads TN 38028-3367 |
| Practice Telephone | 9018487826 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471R0002X |
Radiologic Technologist Specialization: Radiation Therapy |
236804 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
435 LONE OAK DR |
| City | EADS |
| State | TN |
| Zip Code | 38028-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407228190 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 2960 Schaeffer Drive, Eads, TN 38028 | 2015-10-21 |
| 1912967431 | Peter Suchol Jang | Dentist | 3161 Highway 64, Suite 400, Eads, TN 38028-3021 | 2006-03-27 |
| 1962663849 | Malinda Manzo | Nurse Practitioner | 3161 Highway 64, Suite 100, Eads, TN 38028-3021 | 2008-06-23 |
| 1306391925 | Diane Marie Lafferty | Dietitian, Registered | 165 Estate Dr, Eads, TN 38028-3133 | 2016-08-24 |
| 1922268036 | Shannon Leigh Stewart | Pharmacist | 1410 Cherry Rd, Eads, TN 38028-3278 | 2008-06-11 |
| 1407049240 | Glenda M Feild | Registered Nurse | 430 Whitehall Ct, Eads, TN 38028-3300 | 2007-08-24 |
| 1114254083 | Thomas Dees Elmore | Specialist | 40 Kingston Cv, Eads, TN 38028-3307 | 2009-11-12 |
| 1184253932 | Donna V Goings | Social Worker | 390 Windsor Ct, Eads, TN 38028-3319 | 2020-04-03 |
| 1881982122 | Lighthouse Family Dentistry | Dentist | 3159 Highway 64 Ste 100, Eads, TN 38028-3322 | 2011-07-20 |
| 1902231236 | Andrew Dale Wofford | Physical Therapy Assistant | 2735 Highway 64 Ste 107, Eads, TN 38028-3333 | 2013-09-05 |
| Find all providers in zip 38028 | ||||
| Taxonomy Code | 2471R0002X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiation Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215344130 | Sherry Ann Wiltshire | Radiologic Technologist | Lamont Street & Veterans Way, Mountain Home, TN 37684 | 2014-07-14 |
Please comment or provide details below to improve the information on LAURIE TRAHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.