Provider Demographics
NPI:1205261559
Name:LANNOM, TRINA M (NP)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:M
Last Name:LANNOM
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:259 N PETERS RD
Mailing Address - Street 2:STE 103
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4923
Mailing Address - Country:US
Mailing Address - Phone:865-690-1255
Mailing Address - Fax:865-690-4583
Practice Address - Street 1:259 N PETERS RD
Practice Address - Street 2:STE 103
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4923
Practice Address - Country:US
Practice Address - Phone:865-690-1255
Practice Address - Fax:865-690-4583
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN17934363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily