Individual
MRS. LORI A RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
254 REN MAR DR, SUITE 100, PLEASANT VIEW, TN 37146-3722
(615) 746-0203
(615) 746-0001
Mailing address
254 REN MAR DR, SUITE 100, PLEASANT VIEW, TN 37146-3722
(615) 746-0203
(615) 746-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD35703
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38746771
—
TN
01
—
4038189
BLUE CROSS BLUE SHIELD PR
TN
Enumeration date
11/16/2006
Last updated
05/21/2012
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