Individual
LORI ANN EUBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 HWY 70 E, DICKSON, TN 37055-2080
(615) 446-0446
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD37581
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3887861
—
TN
05
—
3887867
—
TN
01
—
4150240
BLUECROSS
TN
01
—
P00189876
RAILROAD MEDICARE
TN
Enumeration date
06/14/2006
Last updated
01/08/2010
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