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Individual

LORI LYNN AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2493
(931) 783-4600
(931) 783-4699
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33892
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510890
TN
05
3723270
TN
05
3850359
TN
Enumeration date
09/07/2005
Last updated
05/26/2022
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