Individual
LORI DENISE HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
140 JOHN C BRECKENRIDGE CV, ADAMSVILLE, TN 38310-5066
(731) 926-5613
Mailing address
140 JOHN C BRECKENRIDGE CV, ADAMSVILLE, TN 38310-5066
(731) 926-5613
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6004
TN
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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