| NPI | 1770291189 |
|---|---|
| Other Name | LEA BRAINERD, PA-C |
| Entity Type | Organization |
| Authorized Contact | LEA HAYLEY BRAINERD CEO 901-612-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-04-06 |