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Individual

CHRISTY LEANNE LANKFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
305 TYSON AVE, PARIS, TN 38242-4579
(731) 642-0025
(731) 644-0899
Mailing address
305 TYSON AVE, PARIS, TN 38242-4579
(731) 642-0025
(731) 644-0899

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
155665
TN
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
155665
RN LICENSE
TN
Enumeration date
10/11/2007
Last updated
06/13/2012
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