Individual
THERESA F LURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6062
(423) 439-8849
(423) 439-8110
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-8849
(423) 439-8110
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD18754
TN
Other
Enumeration date
09/16/2005
Last updated
11/03/2010
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