Panezich, Lauren Rene

Panezich, Lauren Rene is an individual health care provider with primary practice located at 102 S Charles G Seivers Blvd , Clinton TN 37716-3916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Panezich, Lauren Rene can be contacted via phone (865) 457-4702.

Contact Information

Primary practice address
102 S Charles G Seivers Blvd Clinton TN 37716-3916
Phone: (865) 457-4702
Fax: (865) 374-2115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.36850 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L.4372R Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 59405 Tennessee

Profile Details

NPI number 1396288650
LBN Legal business name Panezich, Lauren Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2016
Last updated Jan 10th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396288650 NPPES
Tennessee MEDICAID Q049891

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