Provider Demographics
NPI:1730560111
Name:GRIMSLEY, LAUREN (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:GRIMSLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:BENNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1920 ALCOA HWY STE E120
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1501
Mailing Address - Country:US
Mailing Address - Phone:865-305-8040
Mailing Address - Fax:865-305-8491
Practice Address - Street 1:1920 ALCOA HWY STE E120
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1501
Practice Address - Country:US
Practice Address - Phone:865-305-8040
Practice Address - Fax:865-305-8491
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN686662086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty