Individual
MRS. LORI ANN GRABNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
DOGWOOD AVENUE, MOUNTAIN HOME, TN 37684-3768
(865) 286-6951
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0000017008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530904
—
TN
01
—
4344426
BCBS OF TN
TN
Enumeration date
10/03/2012
Last updated
02/06/2019
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