Individual
MISS LORI JAE VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
4085 MALLORY LN, STE. 200, FRANKLIN, TN 37067-8290
(615) 771-1111
Mailing address
297 ORCHARD LN, WINCHESTER, TN 37398-4527
(931) 967-0407
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
10443
TN
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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