Provider Demographics
NPI:1659579266
Name:SIMPSON, LUCIEN CALDWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:LUCIEN
Middle Name:CALDWELL
Last Name:SIMPSON
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 1:915 ROBERTSON ACADEMY RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-1130
Mailing Address - Country:US
Mailing Address - Phone:615-385-3606
Mailing Address - Fax:615-385-3606
Practice Address - Street 1:915 ROBERTSON ACADEMY RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-1130
Practice Address - Country:US
Practice Address - Phone:615-385-3606
Practice Address - Fax:615-385-3606
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000010464174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB03032Medicare UPIN