Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeland Pediatrics PLLC

Organization Pediatrics Physician · NPI 1205415858

Lakeland Pediatrics PLLC is a Pediatrics Physician in Lakeland, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9755 Highway 64 Ste 101
Lakeland, TN 38002
Phone: (901) 831-8190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1205415858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Powell — Owner, Fnp · (901) 831-8190
NPI enumeratedApril 2, 2021
Last updated in NPPESMay 8, 2021
Certification dateMay 8, 2021
Mailing address150 Raspberry Cv, Eads, TN 38028-3002

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