LAUREN ALYSSIA HENDERSON

MEMPHIS, TN
NPI1992200364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TN  10849)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-28
Last Update Date2019-07-15
Business Address
LAUREN ALYSSIA HENDERSON
5180 PARK AVE STE 210
MEMPHIS, TN 38119-3530
Phone number: 901-763-0850
Mailing Address
LAUREN ALYSSIA HENDERSON
212 WALTER PAYTON LN
RIDGELAND, MS 39157-5011
Phone number: 601-331-4467