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Organization
LEXCARE CLINIC INC
Active
Organization
LEXCARE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY ELIZABETH DORRIS FNP (PRESIDENT)
(731) 967-8813
Entity
Organization
Contact information
Practice address
1560 N BROAD ST, LEXINGTON, TN 38351-4765
(731) 967-8813
(731) 967-8815
Mailing address
PO BOX 118, LEXINGTON, TN 38351-0118
(731) 967-8813
(731) 967-8815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN10647
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3736360
MEDICARE PTAN
TN
Enumeration date
01/23/2007
Last updated
11/09/2010
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