Provider Demographics
NPI:1386499143
Name:LAVERCOMBE, WILLIAM QUINN
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:QUINN
Last Name:LAVERCOMBE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 21ST AVE S STE 3000
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3139
Mailing Address - Country:US
Mailing Address - Phone:713-397-6999
Mailing Address - Fax:
Practice Address - Street 1:1500 21ST AVE S STE 3000
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3139
Practice Address - Country:US
Practice Address - Phone:615-936-2187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program