Individual
LORENA R CRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
355 SO MAIN ST, EAGLEVILLE, TN 37060-0189
(615) 274-2102
(615) 274-2106
Mailing address
PO BOX 189, EAGLEVILLE, TN 37060-0189
(615) 274-2102
(615) 274-2106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1307
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4041298
BLUE CROSS BLUE SHIELD
TN
Enumeration date
02/23/2006
Last updated
03/23/2010
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