| NPI | 1659462422 |
|---|---|
| Doing Business As | LAKEWAY ORTHOPAEDIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON-DAVID DEESON CEO 865-769-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2017-09-29 |