Individual
DR. LORI M PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 695-4977
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 695-4977
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41842
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164669500
BLACK LUNG
TN
05
—
3000029
—
TN
01
—
4149079
BCBS OF TN
TN
01
—
41842
TN
TN
01
—
52207348
BCBS OF GA
GA
01
—
55427
GA
GA
05
—
675737865
—
GA
01
—
8272039
CIGNA
TN
Enumeration date
08/09/2006
Last updated
05/16/2017
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