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Individual

LORRAINE CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 20TH AVE N FL 789, NASHVILLE, TN 37203-2131
(615) 284-7261
(615) 284-7501
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7200
(903) 877-5080

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55448
TN

Other

Enumeration date
05/15/2014
Last updated
08/13/2019
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