Basic Information
| Provider Information | |||||||||
| NPI: | 1295056943 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARRIS | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | LINDSEY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1932 ALCOA HWY STE 255 | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379201508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8652442030 | ||||||||
| FaxNumber: | 8656841196 | ||||||||
| Practice Location | |||||||||
| Address1: | 1932 ALCOA HWY STE 255 | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379201508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8652442030 | ||||||||
| FaxNumber: | 8656841196 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2010 | ||||||||
| LastUpdateDate: | 01/31/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | MD51155 | TN | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.