LLOYD ALTON TANTUM

MARYVILLE, TN
NPI1326007592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152WC0802X Optometrist, Corneal and Contact Management
(Licence: TN  odt694)
Additional Taxonomies152WC0802X Optometrist, Corneal and Contact Management
(Licence: MT  OPT-OPT-LIC-823)
Enumeration Date2006-03-17
Last Update Date2017-06-27
Business Address
-- LLOYD ALTON TANTUM O.D.
1732 W BROADWAY AVE
MARYVILLE, TN 37801-5510
Phone number: 865-982-6761
Mailing Address
-- LLOYD ALTON TANTUM O.D.
702 S FOOTHILLS PLAZA DR
MARYVILLE, TN 37801-2300
Phone number: 865-982-6761