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Individual

JANET LAUGHLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6485 POPLAR AVE, MEMPHIS, TN 38119-4838
(901) 767-4014
Mailing address
359 WELLINGTON CV, JACKSON, TN 38305-6609
(731) 664-4938

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000044459
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3142224
BCBS TN INDIVIDUAL
TN
05
3607977
TN
01
P00154041
RR MEDICARE INDIVIDUAL
TN
Enumeration date
09/20/2005
Last updated
03/06/2015
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