Provider Demographics
NPI:1598021073
Name:BANGURA, LAMIN SHEBORA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAMIN
Middle Name:SHEBORA
Last Name:BANGURA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2854 S. CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-4770
Mailing Address - Country:US
Mailing Address - Phone:615-498-1659
Mailing Address - Fax:
Practice Address - Street 1:4536 NOLENSVILLE PIKE
Practice Address - Street 2:SUITE F
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4770
Practice Address - Country:US
Practice Address - Phone:615-498-1659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000048230207P00000X, 207Q00000X
FLME105933207Q00000X
VA0101246565207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine