Earl Dwayne Lett in Mount Juliet - Plastic And Reconstructive Surgery
Earl Dwayne Lett - NPI 1790757755
Earl Dwayne Lett is a Plastic And Reconstructive Surgery in Mount Juliet, Tennessee. Earl Dwayne Lett practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Earl Dwayne Lett is 1790757755. The last update date is 2023-08-25.
Earl Dwayne Lett's current location address is 660 S Mount Juliet Rd Ste 210, Mount Juliet, Tennessee. You can contact this provider via phone number 6154430901 and fax number 6154420310. The mailing address for Earl Dwayne Lett is 660 S Mount Juliet Rd Ste 210, Mount Juliet, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earl Dwayne Lett |
|---|---|
| Address | 660 S Mount Juliet Rd Ste 210, Mount Juliet, Tennessee |
| Phone Number | 6154430901 |
| Fax Number | 6154420310 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790757755 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2023-08-25 |
Provider Mailing Address Detail
| Address | 660 S Mount Juliet Rd Ste 210 |
|---|---|
| City | Mount Juliet |
| State | Tennessee (TN) |
| Post Code | 371223973 |
| Phone Number | 6154430901 |
| Fax Number | 6154420310 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | MD25738 |
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Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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What is the unique identifier code issued to Earl Dwayne Lett by the Centers for Medicare & Medicaid Services (CMS)?
The Earl Dwayne Lett has been assigned the NPI (National Provider Identifier) 1790757755. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Earl Dwayne Lett located?
The Earl Dwayne Lett is located at 660 S Mount Juliet Rd Ste 210, Mount Juliet, TN 371223973.
What is Earl Dwayne Lett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Earl Dwayne Lett's area of specialization is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.
On what date did Earl Dwayne Lett receive its 1790757755 assignment from the Centers for Medicare & Medicaid Services?
The Earl Dwayne Lett was assigned its 1790757755 on 2006-02-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Earl Dwayne Lett's details last updated?
The information pertaining to the Earl Dwayne Lett, including its address, specialty, and other details, was most recently updated on 2023-08-25.