Leftwich, Lanny M
Leftwich, Lanny M is an sole proprietor health care provider with primary practice located at 509 N Cedar Ave , Cookeville TN 38501-1707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Leftwich, Lanny M can be contacted via phone (931) 520-8435.Contact Information
Primary practice address
509 N Cedar Ave
Cookeville TN 38501-1707
Phone: (931) 520-8435
Fax: (931) 372-7225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD0000035021 | Tennessee |
Profile Details
| NPI number | 1508848169 |
|---|---|
| LBN Legal business name | Leftwich, Lanny M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Aug 20th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508848169 | NPPES |
| Tennessee | MEDICAID | 3327418 |
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