Provider Demographics
NPI:1982761136
Name:DAMPIER, LOUCINDA ROCHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:LOUCINDA
Middle Name:ROCHELLE
Last Name:DAMPIER
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:LOUCINDA
Other - Middle Name:DAMPIER
Other - Last Name:SAWINSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:196 STADIUM DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3529
Practice Address - Country:US
Practice Address - Phone:615-264-0540
Practice Address - Fax:615-264-0539
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12454208600000X
FLTRN 6137208600000X
TN43441208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1982761136Medicaid
TNQ018074Medicaid
NVV104720Medicare PIN
TN3002436Medicare PIN