Individual
MARTHA S LOCKRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
206 LEGION AVE, LEWISBURG, TN 37091-2898
(931) 359-1551
(931) 359-0542
Mailing address
1040 FAIRMONT DR, COLUMBIA, TN 38401-7709
(931) 381-4146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
153234
TN
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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