Provider Demographics
NPI:1497165070
Name:LORD, CHRISTOPHER ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ADAM
Last Name:LORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
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:615-875-5559
Practice Address - Street 1:1724 HAMILL RD STE 102
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-5098
Practice Address - Country:US
Practice Address - Phone:423-267-6738
Practice Address - Fax:423-635-7544
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN71494207Y00000X
GA86553207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology