La Wanna Brock, F.N.P., A.P.N

NPI 1407932387 · on the registry since 2006

Practice

Address: 1442 North Broad Street
Suite 7
Tazewell, TN 37879
Phone: (423) 626-6145
Fax: (423) 526-2804
Organisation at this address: Tazewell Medical Clinic, Inc.
Pediatrics To Parents Medical, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee