LEABETH MACON PACK

LEBANON, TN
NPI1154747889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  18455)
Enumeration Date2014-03-05
Last Update Date2017-02-21
Business Address
Mrs. LEABETH MACON PACK NP-C
1430 W BADDOUR PKWY STE A
LEBANON, TN 37087-2656
Phone number: 615-453-6144
Mailing Address
Mrs. LEABETH MACON PACK NP-C
1616 W MAIN ST STE 201
LEBANON, TN 37087-3100
Phone number: 615-444-1180
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