COREY LAKE

KNOXVILLE, TN
NPI1669852935
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: FL  ME146259)
Enumeration Date2015-06-02
Last Update Date2021-08-02
Business Address
COREY LAKE
1924 ALCOA HWY BOX U109
KNOXVILLE, TN 37920-1511
Phone number: 865-305-9220
Mailing Address
COREY LAKE
1924 ALCOA HWY BOX U109
KNOXVILLE, TN 37920-1511
Phone number:
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