Provider Demographics
NPI:1295378420
Name:CRYO AND CONTOUR PLLC
Entity Type:Organization
Organization Name:CRYO AND CONTOUR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:POE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-581-8613
Mailing Address - Street 1:7180 NOLENSVILLE RD STE 2E
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-2998
Mailing Address - Country:US
Mailing Address - Phone:165-819-2201
Mailing Address - Fax:
Practice Address - Street 1:7180 NOLENSVILLE RD STE 2E
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-2998
Practice Address - Country:US
Practice Address - Phone:615-819-2201
Practice Address - Fax:615-526-6494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service